| Vituity | |
|
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 | |
| (541) 673-0611 | |
| Not Available |
| Full Name | Vituity |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2700 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | Theophile Koury (PRESIDENT) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity 2100 Powell St Ste 900 Emeryville CA 94608-1844 Ph: (510) 350-2600 | Vituity 2700 Nw Stewart Pkwy Roseburg OR 97471-1281 Ph: (541) 673-0611 |
| NPI Number | 1003364779 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 02/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003364779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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