Organization
ARLAN G. ZASTROW, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ZASTROW (OFFICE MANAGER)
(541) 673-0968
Entity
Organization
Contact information
Practice address
320 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
(541) 673-0968
(541) 673-0080
Mailing address
320 NW MEDICAL LOOP, ROSEBURG, OR 97471-1645
(541) 673-0968
(541) 673-0080
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD11889
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004390000
BLUE CROSS BLUE SHIELD
OR
05
—
217539
—
OR
01
—
3041437
PACIFIC SOURCE
OR
01
—
P00000069994
ODS
OR
Enumeration date
03/23/2010
Last updated
03/07/2023
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