| Evergreen Family Medicine | |
|
2570 Nw Edenbower Blvd Roseburg OR 97471-6214 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | Evergreen Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2570 Nw Edenbower Blvd, Roseburg, Oregon |
| Authorized Official Name and Position | Jason Gray (PRESIDENT) |
| Authorized Official Contact | 5416772494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Medicine 2570 Nw Edenbower Blvd Roseburg OR 97471-6214 Ph: (541) 677-7200 | Evergreen Family Medicine 2570 Nw Edenbower Blvd Roseburg OR 97471-6214 Ph: (541) 677-7200 |
| NPI Number | 1821366071 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 9234397878 |
|---|---|
| Medicare Enrollment ID | O20120328000411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821366071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |
Bestmed Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 | |
Cow Creek Health & Wellness Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 | |
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