Organization
ROSEBURG VA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSELLEN E KIMBROUGH DDS (CHIEF DENTIST)
(541) 440-1000
Entity
Organization
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 957-0653
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 957-0653
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
7677
OR
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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