Jacquelyn Outcalt Groshong in Roseburg - Pediatrics
Jacquelyn Outcalt Groshong - NPI 1700893674
Jacquelyn Outcalt Groshong is a Pediatrics in Roseburg, Oregon. Jacquelyn Outcalt Groshong practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jacquelyn Outcalt Groshong is 1700893674. The last update date is 2015-09-10.
Jacquelyn Outcalt Groshong's current location address is Po Box 1700, Roseburg, Oregon. You can contact this provider via phone number 5419575437 and fax number 5414645441. The mailing address for Jacquelyn Outcalt Groshong is Po Box 1700, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn Outcalt Groshong |
|---|---|
| Address | Po Box 1700, Roseburg, Oregon |
| Phone Number | 5419575437 |
| Fax Number | 5414645441 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700893674 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2015-09-10 |
Provider Mailing Address Detail
| Address | Po Box 1700 |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974700414 |
| Phone Number | 5419575437 |
| Fax Number | 5414645441 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD18388 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70511 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn Outcalt Groshong by the Centers for Medicare & Medicaid Services?
The Jacquelyn Outcalt Groshong has been issued the NPI (National Provider Identifier) 1700893674 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacquelyn Outcalt Groshong's facilities are situated?
The facilities of Jacquelyn Outcalt Groshong are physically located at the following address: Po Box 1700, Roseburg, OR, 974700414.
What is Jacquelyn Outcalt Groshong'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 Jacquelyn Outcalt Groshong is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
On what date was the 1700893674 assigned to Jacquelyn Outcalt Groshong?
The Jacquelyn Outcalt Groshong was issued its 1700893674 on 2006-08-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jacquelyn Outcalt Groshong, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacquelyn Outcalt Groshong, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-09-10.
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