Individual
DR. JONATHAN EVERETT BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7350
(541) 677-7462
Mailing address
2570 NW EDENBOWER BLVD STE 100, ROSEBURG, OR 97471-6214
(541) 677-7200
(541) 229-3309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203628
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500793662
—
OR
Enumeration date
06/07/2017
Last updated
04/25/2022
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