Evergreen Family Medicine, Pc in Roseburg - Emergency Medicine
Evergreen Family Medicine, Pc - NPI 1417929050
Evergreen Family Medicine, Pc is a Emergency Medicine in Roseburg, Oregon. Evergreen Family Medicine, Pc practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Evergreen Family Medicine, Pc is 1417929050. The last update date is 2009-12-11.
Evergreen Family Medicine, Pc's current location address is 2570 Nw Edenbower Blvd, Roseburg, Oregon. You can contact this provider via phone number 5412293301 and fax number 5416777462. The mailing address for Evergreen Family Medicine, Pc is 2570 Nw Edenbower Blvd, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Family Medicine, Pc |
|---|---|
| Address | 2570 Nw Edenbower Blvd, Roseburg, Oregon |
| Phone Number | 5412293301 |
| Fax Number | 5416777462 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Powell J Timothy |
| Credentials | MD |
| Telephone Number | 5412293301 |
NPI Number Detail
| NPI Number | 1417929050 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2009-12-11 |
Provider Mailing Address Detail
| Address | 2570 Nw Edenbower Blvd |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974706214 |
| Phone Number | 5412293301 |
| Fax Number | 5416777462 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
|
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116 | OR | -- | |
| CN5472 | OR | GROUP RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evergreen Family Medicine, Pc by the Centers for Medicare & Medicaid Services?
The Evergreen Family Medicine, Pc has been issued the NPI (National Provider Identifier) 1417929050, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Evergreen Family Medicine, Pc located?
The Evergreen Family Medicine, Pc is located at 2570 Nw Edenbower Blvd, Roseburg, OR 974706214.
What is the area of specialization for Evergreen Family Medicine, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evergreen Family Medicine, Pc is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
When was the Evergreen Family Medicine, Pc's 1417929050 issued?
The Evergreen Family Medicine, Pc's 1417929050 was issued on 2006-02-07.
As of what date was the information pertaining to Evergreen Family Medicine, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evergreen Family Medicine, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-12-11.