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1973 W Harvard Avenue Roseburg OR 97471-2720 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 1973 W Harvard Avenue, Roseburg, Oregon |
| Authorized Official Name and Position | Kimberly Tyree (COO) |
| Authorized Official Contact | 5412293332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2570 Nw Edenbower Blvd Ste 100 Roseburg OR 97471-6214 Ph: (541) 677-7200 | 1973 W Harvard Avenue Roseburg OR 97471-2720 Ph: (541) 677-7200 |
| NPI Number | 1568434025 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568434025 | NPI | - | NPPES |
| J8799-01 | Other | OR | GROUP PACIFIC SOURCE |
| 610550200 | Other | OR | GROUP OWCP |
| 845023000 | Other | OR | GROUP BLUE CROSS |
| 213560 | Medicaid | OR |
A.k. Gombart M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 W Umpqua St, Roseburg, OR 97470 Phone: 541-673-0133 | |
Roseburg Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-8988 Fax: 541-672-8103 | |
Douglas Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392 | |
Laurence M Sharp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471 Phone: 541-459-1611 Fax: 541-459-5741 | |
Gordon F. Rose, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 W Umpqua St Ste 104, Roseburg, OR 97470 Phone: 541-673-3334 Fax: 541-673-0814 |