Providence Health & Services - Oregon
Community/Retail Pharmacy
1111 Crater Lake Ave, Medford
Oregon, 97504-6241
541-732-5079 541-732-5859
Providence Health & Services - Oregon is a Community/Retail Pharmacy in Medford, Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 1111 Crater Lake Ave, Medford and it's customer support contact number is 541-732-5079. The authorized person of Providence Health & Services - Oregon is Donald W Anderson Jr. who is Assistant Secretary Enrollments of the pharmacy and his contact number is 425-358-9786.
Providence Health & Services - Oregon is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Providence Health & Services - Oregon type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Providence Health & Services - Oregon |
| Type: | Community/Retail Pharmacy |
| Location: | 1111 Crater Lake Ave, Medford,
Oregon, 97504-6241 |
| Phone: | 541-732-5079 |
| Fax: | 541-732-5859 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Donald W Anderson Jr. |
| Position: | Assistant Secretary Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518142074 |
| Parent Organization: | Providence Health & Services - Oregon |
| NPI Enumeration Date: | 03 Jan, 2008 |
| NPI Last Update On: | 27 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Oregon are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 31001-4199,
Pasadena, California |
| Zip: | 91110-4199 |
| Phone Number: | 907-312-7903 |
| Fax Number: | 425-276-3215 |
Patients can reach Providence Health & Services - Oregon at
1111 Crater Lake Ave, Medford, Oregon or can
call on customer care at 541-732-5079.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.