Individual
CHRIS ANTHONY JANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD15609
OR
207R00000X
Internal Medicine Physician
Primary
MD15609
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078386
—
OR
05
—
8363459
—
WA
01
—
930069801
RAILROAD MEDICRE
OR
Enumeration date
01/27/2006
Last updated
02/28/2009
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