PMG SOUTH MEDFORD PEDIATRICS – Child & Adolescent Psychiatry Physician, NPI 1316024128

PMG SOUTH MEDFORD PEDIATRICS is a healthcare provider. based in Medford, Oregon. specializing in Child & Adolescent Psychiatry Physician. The NPI Number for PMG SOUTH MEDFORD PEDIATRICS is 1316024128

Main info

Organization
Name
PMG SOUTH MEDFORD PEDIATRICS
NPI
1316024128
Phone
(541) 732-8370
Address
840 ROYAL AVE
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECRETARY ENROLLMENT
Enumeration Date
1 November 2006
Last Update Date
19 November 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness90
Years active:19State licenses:0Digital endpoints

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Provider Addresses for PMG SOUTH MEDFORD PEDIATRICS

  • 840, Royal Avenue, Medford, Jackson County, Oregon, 97504, United States

    SUITE 110

    MEDFORD, OR 975046461

    Phone: (541) 732-8370

    Fax: (541) 732-8371

    Type: Location

  • PO BOX 31001 - 4180

    PASADENA, CA 911104180

    Phone: (503) 215-6494

    Type: Mailing

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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Reviews

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Frequently asked questions

What identifier follows PMG SOUTH MEDFORD PEDIATRICS across health systems?
The NPI 1316024128 uniquely identifies PMG SOUTH MEDFORD PEDIATRICS in U.S. healthcare data.
Should I treat PMG SOUTH MEDFORD PEDIATRICS as an active provider?
Patients and plans typically see PMG SOUTH MEDFORD PEDIATRICS as active in the national extract.
What services align with PMG SOUTH MEDFORD PEDIATRICS's listing?
PMG SOUTH MEDFORD PEDIATRICS's public classification highlights Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PMG SOUTH MEDFORD PEDIATRICS?
The directory associates PMG SOUTH MEDFORD PEDIATRICS with Medford, Oregon. Check all listed addresses for suites or satellite offices.
Who maintains PMG SOUTH MEDFORD PEDIATRICS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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