PROVIDENCE HEALTH & SERVICES - OREGON – NPI #1437469087
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PROVIDENCE HEALTH & SERVICES - OREGON is a provider located in MEDFORD, OR. NPPES has assigned the NPI number 1437469087 to PROVIDENCE HEALTH & SERVICES - OREGON on October 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Nov 19, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES - OREGON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES - OREGON

NPI Number
1437469087
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES - OREGON
Other name(s)
All associated names:
Doing Business As (dba)
PMG South Pulmonology
Doing Business As (dba)
PROVIDENCE MEDICAL GROUP SOUTH
Primary location
827 SPRING ST
MEDFORD, OR 97504-6104
Phone: (541) 732-7600 Fax: (541) 732-7601
Mailing address
PO BOX 31001 - 4180
PASADENA, CA 91110-4180
Phone: (541) 732-7960 Fax: (541) 732-7961
Organization Subpart
Yes - PROVIDENCE HEALTH & SERVICES - OREGON is subpart of another organization.
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY ENROLLMENT
Phone: (425) 358-9786
Updated
Certification Date
Nov 19, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PROVIDENCE HEALTH & SERVICES - OREGON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR500628691
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.