| Fred Black Md Pc | |
|
2282 Nw Troost St Suite 103 Roseburg OR 97471-6071 | |
| (541) 672-0497 | |
| (541) 957-2663 |
| Full Name | Fred Black Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2282 Nw Troost St, Roseburg, Oregon |
| Authorized Official Name and Position | Frederick J Black (PRESIDENT) |
| Authorized Official Contact | 5416720497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Black Md Pc 2282 Nw Troost St Suite 103 Roseburg OR 97471-6071 Ph: (541) 672-0497 | Fred Black Md Pc 2282 Nw Troost St Suite 103 Roseburg OR 97471-6071 Ph: (541) 672-0497 |
| NPI Number | 1710970330 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710970330 | NPI | - | NPPES |
| 218557 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD10476 (Oregon) | 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 | |
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 |