Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MARNELL (DIRECTOR)
(541) 440-1000
Entity
Organization
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, MHS - WARD 3U SIPU, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1366
Mailing address
913 NW GARDEN VALLEY BLVD, MHS - WARD 3U SIPU, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1366
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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