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2570 Nw Edenbower Blvd Roseburg OR 97471-6214 | |
(541) 677-7200 | |
(541) 229-3309 |
Full Name | |
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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 |
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2570 Nw Edenbower Blvd Roseburg OR 97471-6214 Ph: (541) 677-7200 | 2570 Nw Edenbower Blvd Roseburg OR 97471-6214 Ph: (541) 677-7200 |
NPI Number | 1821366071 |
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Provider Enumeration Date | 12/02/2011 |
Last Update Date | 02/06/2013 |
Medicare PECOS PAC ID | 9234397878 |
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Medicare Enrollment ID | O20120328000411 |
Identifier | Type | State | Issuer |
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1821366071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |
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 |