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Organization
LAYNE S JORGENSEN DO, PC
Active
Organization
LAYNE S JORGENSEN DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAYNE S JORGENSEN DO (PRESIDENT)
(541) 672-0497
Entity
Organization
Contact information
Practice address
2282 NW TROOST ST, STE 103, ROSEBURG, OR 97470-6071
(541) 672-0497
(541) 957-2663
Mailing address
2282 NW TROOST ST, STE 103, ROSEBURG, OR 97470-6071
(541) 672-0497
(541) 957-2663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19045
OR
Other
Enumeration date
08/29/2005
Last updated
07/29/2008
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