Providence Health & Services Oregon is a Psychiatry Clinic in Medford, Oregon. This organization is also known as sub part of Providence Health & Services Oregon. It is located at 965 Ellendale Dr, Medford, OR and its contact number is 541-732-6000. The authorized person for Providence Health & Services Oregon is Donald Wayne Anderson Jr.
who is Assistant Secretary For Enrollment of the clinic and his/her contact number is 425-525-5392. Providence Health & Services Oregon Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Providence Health & Services Oregon Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Health & Services Oregon
Specialization:
Psychiatry
Clinic Address:
965 Ellendale Dr, Medford, Oregon, 97504-8215
Phone:
541-732-6000
Fax:
541-732-6005
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Donald Wayne Anderson Jr.
Position:
Assistant Secretary For Enrollment
Contact Number:
425-525-5392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health & Services Oregon clinic are as mentioned below.
NPI Number:
1568547503
Parent Organization:
Providence Health & Services Oregon
NPI Enumeration Date:
26 Oct, 2006
NPI Last Update On:
14 Feb, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services Oregon are as mentioned below.
Specialization
License Number
State
Status
Clinic/center
Primary
Family Medicine
Secondary
Internal Medicine
Secondary
Child & Adolescent Psychiatry
Secondary
Geriatric Psychiatry
Secondary
Adolescent and Children Mental Health
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
288515
Medicaid
Oregon
CG6801
Other
Oregon
Railroad Medicare
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Health & Services Oregon Po Box 3158, Portland, Oregon
Zip:
97208-3158
Phone Number:
503-215-6494
Fax Number:
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Patients can reach Providence Health & Services Oregon at 965 Ellendale Dr, Medford, Oregon or can call to book an appointment on 541-732-6000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.