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780 Nw Garden Valley Blvd Ste 310 Roseburg OR 97471-2298 | |
(541) 672-4885 | |
(541) 998-4571 |
Full Name | |
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Speciality | Clinic/Center |
Location | 780 Nw Garden Valley Blvd Ste 310, Roseburg, Oregon |
Authorized Official Name and Position | Erica Hauser (CFO) |
Authorized Official Contact | 3125905372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 4858 Portland OR 97208-4858 Ph: () - | 780 Nw Garden Valley Blvd Ste 310 Roseburg OR 97471-2298 Ph: (541) 672-4885 |
NPI Number | 1194390385 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 06/20/2022 |
Medicare PECOS PAC ID | 1355406729 |
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Medicare Enrollment ID | O20210621001424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194390385 | 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 |