Organization
ALTERNATIVE MEDICINE OUTREACH PROGRAM
Active
Other names
AMOP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA GAIL EIDE (PRESIDENT)
15414401934
Entity
Organization
Contact information
Practice address
455 W COREY CT, ROSEBURG, OR 97470-3078
(541) 440-1934
(541) 440-1943
Mailing address
455 W COREY CT, ROSEBURG, OR 97470-3078
(541) 440-1934
(541) 440-1943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
08/26/2011
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