Organization
UMPQUA HEALTH - HARVARD, LLC
Active
Other names
Umpqua Regional Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUE GOLDBERG (VP, NETWORK & BUSINESS DEVELOPMENT)
(541) 464-4079
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE, SUITE 201, ROSEBURG, OR 97471-2754
(541) 440-6390
(541) 440-6392
Mailing address
PO BOX 1023, ROSEBURG, OR 97470-0232
(541) 440-6390
(541) 440-6392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
500609279
OR
261QR1300X
Rural Health Clinic/Center
Primary
—
OR
Other
Enumeration date
01/22/2009
Last updated
02/08/2017
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