Douglas Medical Clinic Pc in Roseburg - Nurse Practitioner
Douglas Medical Clinic Pc - NPI 1033270863
Douglas Medical Clinic Pc is a Nurse Practitioner in Roseburg, Oregon. Douglas Medical Clinic Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Douglas Medical Clinic Pc is 1033270863. The last update date is 2020-08-22.
Douglas Medical Clinic Pc's current location address is 1813 W Harvard Ave, Roseburg, Oregon. You can contact this provider via phone number 5414406390 and fax number 5414406392. The mailing address for Douglas Medical Clinic Pc is 1813 W Harvard Ave, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas Medical Clinic Pc |
|---|---|
| Address | 1813 W Harvard Ave, Roseburg, Oregon |
| Phone Number | 5414406390 |
| Fax Number | 5414406392 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Tyler L Cinda |
| Telephone Number | 5414406390 |
NPI Number Detail
| NPI Number | 1033270863 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1813 W Harvard Ave |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974702752 |
| Phone Number | 5414406390 |
| Fax Number | 5414406392 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288040 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Medical Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas Medical Clinic Pc has been assigned the NPI (National Provider Identifier) 1033270863. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Douglas Medical Clinic Pc's physical address?
The Douglas Medical Clinic Pc is physically located at 1813 W Harvard Ave, in the city of Roseburg, OR, with the postal code 974702752.
What is the Douglas Medical Clinic Pc's area of specialization and corresponding taxonomy classification?
The Douglas Medical Clinic Pc's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Douglas Medical Clinic Pc's 1033270863 issued?
The Douglas Medical Clinic Pc's 1033270863 was issued on 2006-12-13.
As of what date were the Douglas Medical Clinic Pc's details last updated?
The information pertaining to the Douglas Medical Clinic Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.