Organization
ROGUE RIVER FAMILY PRACTICE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND H GLOVINSKY DO (PARTNER)
(541) 582-0505
Entity
Organization
Contact information
Practice address
509 E MAIN STREET, ROGUE RIVER, OR 97537-9674
(541) 582-0505
(541) 582-0778
Mailing address
PO BOX 1020, ROGUE RIVER, OR 97537-9674
(541) 582-0505
(541) 582-0778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113597
—
OR
Enumeration date
12/11/2006
Last updated
08/22/2020
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