| Cep America - Psychiatry Pc | |
|
2700 Nw Stewart Pkwy Roseburg OR 97471 | |
| (541) 673-0611 | |
| Not Available |
| Full Name | Cep America - Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | David Birdsall (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America - Psychiatry Pc 1601 Cummins Dr Ste D Modesto CA 95358-6411 Ph: (510) 350-2600 | Cep America - Psychiatry Pc 2700 Nw Stewart Pkwy Roseburg OR 97471 Ph: (541) 673-0611 |
| NPI Number | 1851884548 |
|---|---|
| Provider Enumeration Date | 06/07/2018 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851884548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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