| Gerald A. Jaworski, M.d., P.c. | |
|
2282 Nw Troost St Ste 101 Roseburg OR 97470-6072 | |
| (541) 673-0609 | |
| (541) 440-9387 |
| Full Name | Gerald A. Jaworski, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2282 Nw Troost St Ste 101, Roseburg, Oregon |
| Authorized Official Name and Position | Barbara Ann Jaworski (CLERK) |
| Authorized Official Contact | 5416730609 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald A. Jaworski, M.d., P.c. 2282 Nw Troost St Ste 101 Roseburg OR 97470-6072 Ph: (541) 673-0609 | Gerald A. Jaworski, M.d., P.c. 2282 Nw Troost St Ste 101 Roseburg OR 97470-6072 Ph: (541) 673-0609 |
| NPI Number | 1093974107 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Medicare PECOS PAC ID | 0042386005 |
|---|---|
| Medicare Enrollment ID | O20080828000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093974107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17702 (Oregon) | Primary |
| Provider Name | Gerald A Jaworski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272099 PECOS PAC ID: 3779659735 Enrollment ID: I20080828000027 |
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