Individual
LAYNE S JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1813 W HARVARD AVE STE 140, ROSEBURG, OR 97471-2743
(541) 677-6553
(541) 677-7023
Mailing address
1813 W HARVARD AVE STE 140, ROSEBURG, OR 97471-2743
(541) 677-6553
(541) 677-7023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19045
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068064
—
OR
Enumeration date
02/20/2007
Last updated
06/15/2023
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