Organization
CHARLES S ROSS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES S ROSS DO (PRESIDENT)
(541) 957-9489
Entity
Organization
Contact information
Practice address
360 LOREDO DR, ROSEBURG, OR 97471-9235
(541) 957-9489
Mailing address
360 LOREDO DR, ROSEBURG, OR 97471-9235
(541) 957-9489
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DO10012
OR
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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