Organization
SHEILA M MAURER
Active
Other names
Rogue River Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MAURER JR. ED.D. (CLINIC MANAGER)
(541) 582-8899
Entity
Organization
Contact information
Practice address
216 E MAIN ST, ROGUE RIVER, OR 97537-9416
(541) 582-8899
Mailing address
216 E MAIN ST, ROGUE RIVER, OR 97537-9416
(541) 582-8899
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268718
—
OR
Enumeration date
12/07/2005
Last updated
11/04/2008
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