Roseburg Family Medicine in Roseburg - Family Medicine
Roseburg Family Medicine - NPI 1447471990
Roseburg Family Medicine is a Family Medicine in Roseburg, Oregon. Roseburg Family Medicine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Roseburg Family Medicine is 1447471990. The last update date is 2014-12-30.
Roseburg Family Medicine's current location address is 340 Nw Medical Loop, Roseburg, Oregon. You can contact this provider via phone number 5416776599 and fax number 5416776576. The mailing address for Roseburg Family Medicine is 340 Nw Medical Loop, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roseburg Family Medicine |
|---|---|
| Address | 340 Nw Medical Loop, Roseburg, Oregon |
| Phone Number | 5416776599 |
| Fax Number | 5416776576 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keys A Clyde |
| Credentials | M.D. |
| Telephone Number | 5416776599 |
NPI Number Detail
| NPI Number | 1447471990 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2014-12-30 |
Provider Mailing Address Detail
| Address | 340 Nw Medical Loop |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974711645 |
| Phone Number | 5416776599 |
| Fax Number | 5416776576 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD18437 |
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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 |
|---|---|---|---|
| R0000WCYBS | OR | IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Roseburg Family Medicine by the Centers for Medicare & Medicaid Services?
The Roseburg Family Medicine has been issued the NPI (National Provider Identifier) 1447471990. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Roseburg Family Medicine?
The Roseburg Family Medicine is situated at 340 Nw Medical Loop, in the city of Roseburg, state of OR, with the zip code 974711645.
What is Roseburg Family Medicine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Roseburg Family Medicine is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Roseburg Family Medicine receive the assignment of its 1447471990 from the Centers for Medicare & Medicaid Services?
The Roseburg Family Medicine was issued its 1447471990 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information regarding Roseburg Family Medicine, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Roseburg Family Medicine, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-30.
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