Diane Bolduc is a Family Medicine in Roseburg, Oregon. Diane Bolduc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Diane Bolduc is 1174537047. The last update date is 2007-07-09.
Diane Bolduc's current location address is 340 Medical Loop, Roseburg, Oregon. You can contact this provider via phone number 5414645907 and fax number 5414648481. The mailing address for Diane Bolduc is 340 Medical Loop, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane Bolduc |
|---|---|
| Address | 340 Medical Loop, Roseburg, Oregon |
| Phone Number | 5414645907 |
| Fax Number | 5414648481 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174537047 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 340 Medical Loop |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974701645 |
| Phone Number | 5414645907 |
| Fax Number | 5414648481 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD23487 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 287185 | OR | -- | |
| 840254000 | OR | REGENCE BLUE CROSS | |
| J103601 | OR | PACIFIC SOURCE | |
| 32945700000 | PROVIDENCE HEALTH PLANS | ||
| 608828900 | BLACK LUNG FEDERAL PROGRA |
Post Comment/ Review Below
What is the unique identifier code issued to Diane Bolduc by the Centers for Medicare & Medicaid Services (CMS)?
The Diane Bolduc has been assigned the NPI (National Provider Identifier) 1174537047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Diane Bolduc's physical address?
The Diane Bolduc is physically located at 340 Medical Loop, in the city of Roseburg, OR, with the postal code 974701645.
What is Diane Bolduc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Diane Bolduc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did the Diane Bolduc receive its 1174537047?
The Diane Bolduc was issued its 1174537047 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
When was the Diane Bolduc's information last updated?
The Diane Bolduc's information was last updated on 2007-07-09.