| Jorgensen Family Medicine Pc | |
|
1813 W Harvard Ave Ste 140 Roseburg OR 97471-2743 | |
| (541) 677-6553 | |
| Not Available |
| Full Name | Jorgensen Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1813 W Harvard Ave Ste 140, Roseburg, Oregon |
| Authorized Official Name and Position | Steven Jorgensen (SECRETARY) |
| Authorized Official Contact | 5416776553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorgensen Family Medicine Pc 110 Paradise Point Ln Roseburg OR 97471-8631 Ph: (541) 430-7898 | Jorgensen Family Medicine Pc 1813 W Harvard Ave Ste 140 Roseburg OR 97471-2743 Ph: (541) 677-6553 |
| NPI Number | 1790482057 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 4981069192 |
|---|---|
| Medicare Enrollment ID | O20230421002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790482057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Layne S Jorgensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477698173 PECOS PAC ID: 4688668627 Enrollment ID: I20110216001228 |
| Provider Name | Steven L Jorgensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720445380 PECOS PAC ID: 6305132192 Enrollment ID: I20190820002033 |
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