| South Umpqua Integrated Health Llc | |
|
244 Ne Division St Myrtle Creek OR 97457-8507 | |
| (541) 680-9028 | |
| Not Available |
| Full Name | South Umpqua Integrated Health Llc |
|---|---|
| Speciality | Dentist |
| Location | 244 Ne Division St, Myrtle Creek, Oregon |
| Authorized Official Name and Position | Mike Shirtcliff (OWNER/DENTIST) |
| Authorized Official Contact | 5416809028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Umpqua Integrated Health Llc Po Box 3008 Myrtle Creek OR 97457-0014 Ph: () - | South Umpqua Integrated Health Llc 244 Ne Division St Myrtle Creek OR 97457-8507 Ph: (541) 680-9028 |
| NPI Number | 1518521194 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518521194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
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