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Organization

LAYNE S JORGENSEN DO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAYNE S JORGENSEN DO (PRESIDENT)
(541) 672-0497
Entity
Organization

Contact information

Practice address
2282 NW TROOST ST, STE 103, ROSEBURG, OR 97470-6071
(541) 672-0497
(541) 957-2663
Mailing address
2282 NW TROOST ST, STE 103, ROSEBURG, OR 97470-6071
(541) 672-0497
(541) 957-2663

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO19045
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218556
OR
Enumeration date
08/29/2005
Last updated
07/29/2008
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