Roseburg Family Medicine

LBN: Roseburg Family Medicine
Roseburg Family Medicine is an health care organization with primary practice located at 340 Nw Medical Loop , Roseburg OR 97471-1645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Roseburg Family Medicine can be contacted via phone (541) 677-6599, or through Keys, Clyde A via phone (541) 677-6599.

Contact Information

Primary practice address
340 Nw Medical Loop Roseburg OR 97471-1645
Fax: (541) 677-6576
Website:
Authorized official contact:
Name: Keys, Clyde A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18437 Oregon

Profile Details

NPI number 1447471990
LBN Legal business name Roseburg Family Medicine
DBA Doing business as
Authorized official Keys, Clyde A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Dec 30th, 2014 - about 10 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 1447471990 NPPES
Oregon Other R0000WCYBS IDENTIFICATION NUMBER

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