Organization
DOUGLAS MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE L WARNER (ASSISTANT MANAGER)
(547) 957-3079
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE, SUITES 110, 201, 422, 426, ROSEBURG, OR 97471-2752
(541) 957-3079
(541) 464-4641
Mailing address
1813 W HARVARD AVE, SUITE 448, ROSEBURG, OR 97471-2752
(541) 957-3079
(541) 464-4641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/20/2009
Last updated
12/17/2009
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