Providence Health & Services Oregon
Durable Medical Equipment & Medical Supplies
840 Royal Ave, Suite 120, Medford
Oregon, 97504-6461
541-732-5566 541-732-5503
Providence Health & Services Oregon is a Durable Medical Equipment & Medical Supplies in Medford, Oregon. It is located at 840 Royal Ave, Suite 120, Medford and it's customer support contact number is 541-732-5566. The authorized person of Providence Health & Services Oregon is Donald W Anderson Jr. who is Assistant Secretary Enrollment of the pharmacy and his contact number is 425-358-9786. Providence Health & Services Oregon accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Providence Health & Services Oregon is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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: | Durable Medical Equipment & Medical Supplies |
| Location: | 840 Royal Ave, Suite 120, Medford,
Oregon, 97504-6461 |
| Phone: | 541-732-5566 |
| Fax: | 541-732-5503 |
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 Enrollment |
| 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: | 1558693291 |
| NPI Enumeration Date: | 05 Feb, 2010 |
| NPI Last Update On: | 16 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 | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
Medicare Enrollment:
Providence Health & Services Oregon is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305755000 | O20110324000359 | Providence Health & Services - Oregon | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Providence Health & Services Oregon has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Implanted Infusion |
| • Parenteral Equipment And/or Supplies | |
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 5936 B,
Portland, Oregon |
| Zip: | 97228-5936 |
| Phone Number: | 503-215-4663 |
| Fax Number: | 503-215-4655 |
Patients can reach Providence Health & Services Oregon at
840 Royal Ave, Suite 120, Medford, Oregon or can
call on customer care at 541-732-5566.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.