Organization
UMPQUA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J OTTENHEIMER III MD (PRESIDENT)
(541) 673-0496
Entity
Organization
Contact information
Practice address
2880 NW STEWART PKWY, SUITE 200, ROSEBURG, OR 97471-1201
(541) 673-0496
(541) 673-5794
Mailing address
2880 NW STEWART PKWY, SUITE 200, ROSEBURG, OR 97471-1201
(541) 673-0496
(541) 673-5794
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
07/16/2009
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