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Individual

JARROD MICHAEL CULLAN

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) 677-7200
(541) 229-3309
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
207R00000X
Internal Medicine Physician
94-09331
KS
207R00000X
Internal Medicine Physician
CDRH.0065805
CO
207R00000X
Internal Medicine Physician
MC-1055
ID
208M00000X
Hospitalist Physician
0443538
KS
208M00000X
Hospitalist Physician
CDRH.0065805
CO
208M00000X
Hospitalist Physician
Primary
MD211497
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500809962
OR
Enumeration date
03/21/2017
Last updated
09/27/2022
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