# ROSEBURG FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447471990
- **Authorized official:** CLYDE A KEYS M.D. (OWNER)
- **Authorized official phone:** (541) 677-6599

## Contact information

- **Practice address:** 340 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
- **Practice address phone:** (541) 677-6599
- **Practice address fax:** (541) 677-6576
- **Mailing address:** 340 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
- **Mailing address phone:** (541) 677-6599
- **Mailing address fax:** (541) 677-6576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD18437 | OR | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 12/30/2014