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2508 Nw Medical Park Dr Roseburg OR 97471-5510 | |
(541) 673-5225 | |
(541) 229-4777 |
Full Name | |
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Speciality | Family Medicine |
Location | 2508 Nw Medical Park Dr, Roseburg, Oregon |
Authorized Official Name and Position | Sarah Lynn Agsten (OWNER) |
Authorized Official Contact | 5416735225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2508 Nw Medical Park Dr Roseburg OR 97471-6220 Ph: (541) 673-5225 | 2508 Nw Medical Park Dr Roseburg OR 97471-5510 Ph: (541) 673-5225 |
NPI Number | 1528255866 |
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Provider Enumeration Date | 10/01/2007 |
Last Update Date | 07/22/2020 |
Medicare PECOS PAC ID | 9537056312 |
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Medicare Enrollment ID | O20040304000672 |
Identifier | Type | State | Issuer |
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1528255866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sarah L Agsten |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104803691 PECOS PAC ID: 6709773591 Enrollment ID: I20090209000638 |
Provider Name | Heidi Beery |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164627667 PECOS PAC ID: 3476686676 Enrollment ID: I20100809000100 |
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 |