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Providence Health & Services - Oregon

NPI 1447799523ActiveOrganization· Internal Medicine· Medford, OR

Internal Medicine in Medford, Oregon, registered in NPPES in February 2017, part of Providence Health & Services - Oregon. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Enrollments.

Overview

NPI1447799523
StatusActive
Entity typeOrganization (subpart)
Parent organizationProvidence Health & Services - Oregon
NPI issuedFeb 22, 2017
Last updated in NPPESNov 19, 2025
Certified by providerNov 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X——
Clinic/Center261Q00000X—OR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in Medford

All Internal Medicine providers in Oregon →