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Providence Health & Services - Oregon

Family Medicine Physician in Eagle Point, OR · enumerated 2009 · authorized official Donald Anderson, Assistant Secretary Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992031595

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Oregon
Other name <Unavail>
Parent organization Providence Health & Services - Oregon
Practice address 1332 S Shasta Ave, Suite A, Eagle Point, OR, 97524
Phone (541) 826-8160
Fax (541) 826-8197
Enumeration date Nov 2, 2009
Last updated in NPPES Nov 19, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary Enrollment
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
500617058 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Providence Health & Services - Oregon?
Providence Health & Services - Oregon is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-19.