Umpqua Neurology Pc | |
1741 W Harvard Ave Roseburg OR 97471-2716 | |
(541) 440-5320 | |
(541) 440-5322 |
Full Name | Umpqua Neurology Pc |
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Speciality | Psychiatry & Neurology |
Location | 1741 W Harvard Ave, Roseburg, Oregon |
Authorized Official Name and Position | Bobbie J Beberger (PRACTICE ADMINISTRATO) |
Authorized Official Contact | 5414405320 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Umpqua Neurology Pc 1741 W Harvard Ave Roseburg OR 97471-2716 Ph: (541) 440-5320 | Umpqua Neurology Pc 1741 W Harvard Ave Roseburg OR 97471-2716 Ph: (541) 440-5320 |
NPI Number | 1881143733 |
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Provider Enumeration Date | 10/03/2016 |
Last Update Date | 10/04/2016 |
Medicare PECOS PAC ID | 7810278389 |
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Medicare Enrollment ID | O20161222000402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881143733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Mark Allen Ng Ramirez |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1245400209 PECOS PAC ID: 7911086095 Enrollment ID: I20080430000473 |
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