| Laurence M Sharp Do Pc | |
|
1813 W Harvard Ave Suite 426 Roseburg OR 97471-2752 | |
| (541) 459-1611 | |
| (541) 459-5741 |
| Full Name | Laurence M Sharp Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1813 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Laurence M Sharp (PRESIDENT) |
| Authorized Official Contact | 5414591611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence M Sharp Do Pc 1813 W Harvard Ave Suite 426 Roseburg OR 97471-2752 Ph: (541) 459-1611 | Laurence M Sharp Do Pc 1813 W Harvard Ave Suite 426 Roseburg OR 97471-2752 Ph: (541) 459-1611 |
| NPI Number | 1033304126 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033304126 | NPI | - | NPPES |
| 150144 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO15192 (Oregon) | Primary |
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