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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