Graduated: 2007
Offers telehealth
NPI: 1245598416
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
940 ROYAL AVE
MEDFORD, OR 975046194
PROVIDENCE HEALTH AND SERVICES OREGON
965 ELLENDALE DR
MEDFORD, OR 975048215
5417326000
Source: CMS National Downloadable File, September 2026.