| Umpqua Valley Internists Pc | |
|
1813 W Harvard Ave Ste 423 Roseburg OR 97471-2752 | |
| (541) 440-6323 | |
| (541) 440-6399 |
| Full Name | Umpqua Valley Internists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1813 W Harvard Ave, Roseburg, Oregon |
| Authorized Official Name and Position | Angela Jones (PRESIDENT) |
| Authorized Official Contact | 5414406323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umpqua Valley Internists Pc 1813 W Harvard Ave Ste 423 Roseburg OR 97471-2752 Ph: (541) 440-6323 | Umpqua Valley Internists Pc 1813 W Harvard Ave Ste 423 Roseburg OR 97471-2752 Ph: (541) 440-6323 |
| NPI Number | 1780065870 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Medicare PECOS PAC ID | 4284940800 |
|---|---|
| Medicare Enrollment ID | O20150827001714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780065870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790768877 PECOS PAC ID: 2961592704 Enrollment ID: I20091216000662 |
| Provider Name | William B Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619959061 PECOS PAC ID: 4789725474 Enrollment ID: I20091231000472 |
| Provider Name | Angela L Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174759997 PECOS PAC ID: 9931350519 Enrollment ID: I20121107000404 |
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