| The Wellness Clinic | |
|
2395 Nw Stewart Pkwy Roseburg OR 97470-5653 | |
| (541) 957-5750 | |
| (541) 957-5766 |
| Full Name | The Wellness Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2395 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | Kim D Hammer (OFFICE MANAGER) |
| Authorized Official Contact | 5419575750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Clinic 2395 Nw Stewart Parkway Roseburg OR 97470 Ph: (541) 957-5750 | The Wellness Clinic 2395 Nw Stewart Pkwy Roseburg OR 97470-5653 Ph: (541) 957-5750 |
| NPI Number | 1184895518 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184895518 | NPI | - | NPPES |
| 287168 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD21306 (Oregon) | Primary |
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