# ALTERNATIVE MEDICINE OUTREACH PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841487451
- **Authorized official:** MS. DONNA GAIL EIDE (PRESIDENT)
- **Authorized official phone:** 15414401934

## Contact information

- **Practice address:** 455 W COREY CT, ROSEBURG, OR 97470-3078
- **Practice address phone:** (541) 440-1934
- **Practice address fax:** (541) 440-1943
- **Mailing address:** 455 W COREY CT, ROSEBURG, OR 97470-3078
- **Mailing address phone:** (541) 440-1934
- **Mailing address fax:** (541) 440-1943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 08/26/2011