Organization
UNITED COMMUNITY ACTION NETWORK
Active
Other names
Douglas County WIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL FIELDMAN (EXECUTIVE DIRECTOR)
(541) 672-3421
Entity
Organization
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3516
Mailing address
280 NE KENNETH FORD DR, ROSEBURG, OR 97470-1034
(541) 492-3501
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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