| White Oak Medical Clinic Llc | |
|
340 Nw Medical Loop Roseburg OR 97471-1645 | |
| (541) 464-5907 | |
| (541) 464-8481 |
| Full Name | White Oak Medical Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 340 Nw Medical Loop, Roseburg, Oregon |
| Authorized Official Name and Position | Diane Bolduc (PRESIDENT) |
| Authorized Official Contact | 5414645907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Medical Clinic Llc 340 Nw Medical Loop Roseburg OR 97471-1645 Ph: (541) 464-5907 | White Oak Medical Clinic Llc 340 Nw Medical Loop Roseburg OR 97471-1645 Ph: (541) 464-5907 |
| NPI Number | 1205305190 |
|---|---|
| Provider Enumeration Date | 11/20/2018 |
| Last Update Date | 11/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205305190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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