Organization
PROVIDENCE HEALTH & SERVICES - OREGON
Active
Other names
PROVIDENCE MEDICAL GROUP SOUTH, PMG - Murphy
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
707 MURPHY RD, MEDFORD, OR 97504-8425
(541) 734-3430
Mailing address
PO BOX 31001 - 4180, PASADENA, CA 91110-4180
(541) 734-3430
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/21/2015
Last updated
11/19/2025
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