# PROVIDENCE HEALTH & SERVICES - OREGON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE MEDICAL GROUP SOUTH, PMG Ashland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174969778
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 1661 HIGHWAY 99 N, BUILDING A, SUITE 100, ASHLAND, OR 97520-8900
- **Practice address phone:** (541) 732-8300
- **Practice address fax:** (541) 732-8301
- **Mailing address:** PO BOX 3158, PORTLAND, OR 97208-3158
- **Mailing address phone:** (541) 732-8300
- **Mailing address fax:** (541) 732-8301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 11/19/2025