Organization
VA ROSEBURG HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE MARNELL (DIRECTOR)
(541) 440-1000
Entity
Organization
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
(541) 440-1366
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
085075393N6
OR
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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