Individual
DOUGLAS DON CLEVELAND III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
04/27/2022
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