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Organization

VA ROSEBURG HEALTH CARE SYSTEM

Active
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Organization

VA ROSEBURG HEALTH CARE SYSTEM

Active
Other names
U.S.Department of Veteran Affairs
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARK BRADLEY M.D. (CHIEF OF STAFF)
(541) 440-1000
Entity
Organization

Contact information

Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1344
Mailing address
1708 DEL RIO RD, ROSEBURG, OR 97470-9557
(541) 440-1000
(541) 440-1344

Taxonomy

Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
79043284
OR

Other

Enumeration date
10/04/2006
Last updated
06/18/2008
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