Providence Health & Services - Oregon
NPI 1093976243ActiveOrganization· Clinic/Center· Medford, OR
Clinic/Center in Medford, Oregon, registered in NPPES in June 2008, part of Providence Health & Services - Oregon. The authorized official on file is Donald W. Anderson, Assistant Secretary Of Enrollments. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093976243 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Health & Services - Oregon |
| NPI issued | Jun 20, 2008 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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