Organization
SISTERS OREGON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ROACH MD (OWNER)
(541) 588-2088
Entity
Organization
Contact information
Practice address
211 N MAPLE LN, SISTERS, OR 97759
(541) 588-2088
Mailing address
PO BOX 972, SISTERS, OR 97759
(541) 588-2088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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