| Douglas Medical Clinic Pc | |
|
1813 W Harvard Ave Suite 201 Roseburg OR 97470-2752 | |
| (541) 440-6390 | |
| (541) 440-6392 |
| Full Name | Douglas Medical Clinic Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1813 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Cinda L Tyler (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5414406390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Medical Clinic Pc 1813 W Harvard Ave Suite 201 Roseburg OR 97470-2752 Ph: (541) 440-6390 | Douglas Medical Clinic Pc 1813 W Harvard Ave Suite 201 Roseburg OR 97470-2752 Ph: (541) 440-6390 |
| NPI Number | 1033270863 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033270863 | NPI | - | NPPES |
| 288040 | Medicaid | OR |
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