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Organization
DOUGLAS ESD
Active
Organization
DOUGLAS ESD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARB TAYLOR (DIRECTOR OF BUSINESS SERVICES)
(541) 440-4777
Entity
Organization
Contact information
Practice address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
(541) 440-4777
(541) 440-4771
Mailing address
1871 NE STEPHENS ST, ROSEBURG, OR 97470-1433
(541) 440-4777
(541) 440-4771
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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