Organization
NORTH RIVER PEDIATRICS, LLC
Active
Other names
North River Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GALLANT (PRACTICE MANAGER)
(541) 677-6116
Entity
Organization
Contact information
Practice address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6220
(541) 677-6116
(541) 957-5181
Mailing address
1813 W HARVARD AVE, ROSEBURG, OR 97470-2752
(541) 677-6116
(541) 957-5181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
04/16/2019
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