| Joel R Daven Md Pc | |
|
544 W Umpqua St Suite 202 Roseburg OR 97470-2966 | |
| (541) 672-0822 | |
| (541) 672-0422 |
| Full Name | Joel R Daven Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 544 W Umpqua St, Roseburg, Oregon |
| Authorized Official Name and Position | Joel Daven (PRESIDENT) |
| Authorized Official Contact | 5416720822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel R Daven Md Pc 544 W Umpqua St Suite 202 Roseburg OR 97470-2966 Ph: (541) 672-0822 | Joel R Daven Md Pc 544 W Umpqua St Suite 202 Roseburg OR 97470-2966 Ph: (541) 672-0822 |
| NPI Number | 1518053305 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518053305 | NPI | - | NPPES |
| 30426 | Other | OR | DEPT OF LABOR & INDUSTRY |
| 007216 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | MD16514 (Oregon) | Primary |
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