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Organization

ROSEBURG CLINIC PC

Active
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Organization

ROSEBURG CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELL G GRAY MA (CEO)
(541) 673-8988
Entity
Organization

Contact information

Practice address
2750 W HARVARD AVE, ROSEBURG, OR 97471-2608
(541) 673-8988
(541) 672-8103
Mailing address
2750 W HARVARD AVE, ROSEBURG, OR 97471-2608
(541) 673-8988
(541) 672-8103

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
12/19/2005
Last updated
10/10/2008
About Stedi
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