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Individual

GERALD ENGSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2510 NW EDENBOWER BLVD STE 112, ROSEBURG, OR 97471
(541) 464-6260
(541) 229-0014
Mailing address
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471-8835
(541) 677-4319
(541) 677-2294

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD15315
OR

Other

Enumeration date
12/09/2005
Last updated
10/13/2021
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