Providence Health & Services Oregon in Medford - Child & Adolescent Psychiatry
Providence Health & Services Oregon - NPI 1386713972
Providence Health & Services Oregon is a Child & Adolescent Psychiatry in Medford, Oregon. Providence Health & Services Oregon practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Providence Health & Services Oregon is 1386713972. The last update date is 2019-04-24.
Providence Health & Services Oregon's current location address is 1698 E Mcandrews Rd, Medford, Oregon. You can contact this provider via phone number 5417327950 and fax number 5417327901. The mailing address for Providence Health & Services Oregon is 1698 E Mcandrews Rd, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Oregon |
|---|---|
| Address | 1698 E Mcandrews Rd, Medford, Oregon |
| Phone Number | 5417327950 |
| Fax Number | 5417327901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST CORP |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1386713972 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2019-04-24 |
Provider Mailing Address Detail
| Address | 1698 E Mcandrews Rd |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975045589 |
| Phone Number | 5417327950 |
| Fax Number | 5417327901 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288499 | OR | -- | |
| CG6801 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Providence Health & Services Oregon by the Centers for Medicare & Medicaid Services?
The Providence Health & Services Oregon has been assigned the NPI (National Provider Identifier) 1386713972 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Providence Health & Services Oregon's facilities are situated?
The facilities of Providence Health & Services Oregon are physically located at the following address: 1698 E Mcandrews Rd, Medford, OR, 975045589.
What is Providence Health & Services Oregon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Health & Services Oregon's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.
On what date was the 1386713972 assigned to Providence Health & Services Oregon?
The Providence Health & Services Oregon was issued its 1386713972 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Providence Health & Services Oregon's information last updated?
The Providence Health & Services Oregon's information was last updated on 2019-04-24.