Douglas Medical Clinic Pc

LBN: Douglas Medical Clinic Pc
Douglas Medical Clinic Pc is an health care organization with primary practice located at 1813 W Harvard Ave Suite 201, Roseburg OR 97470-2752. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Douglas Medical Clinic Pc can be contacted via phone (541) 440-6390, or through Tyler, Cinda L via phone (541) 440-6390.

Contact Information

Primary practice address
1813 W Harvard Ave Suite 201 Roseburg OR 97470-2752
Phone: (541) 440-6390
Fax: (541) 440-6392
Website:
Map and Directions
Authorized official contact:
Name: Tyler, Cinda L
Phone: (541) 440-6390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1033270863
LBN Legal business name Douglas Medical Clinic Pc
DBA Doing business as
Authorized official Tyler, Cinda L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033270863 NPPES
Oregon MEDICAID 288040

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