Gordon F. Rose, Pc

NPI 1063611465 - Clinic/Center - 261QP2300X

NPI Details
NPI 1063611465
Enumeration Date 07/16/2007
Last Updated 02/01/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GORDON FREDERIK GORDON
Position PRESIDENT
Phone (541) 673-3334
Fax (541) 673-0814
Practice Location
544 W UMPQUA ST STE 104
ROSEBURG OR, 97470-2999, US
Phone (541) 673-3334
Fax (541) 673-0814
Business Location
544 W UMPQUA ST STE 104
ROSEBURG OR, 97470-2999, US
Phone (541) 673-3334
Fax (541) 673-0814
Toxanomy
Taxonomy Code 261QP2300X
License State Oregon
License Number MD15903
Remove 1063611465 NPI Number
 

According to our database, Gordon F. Rose, Pc NPI is 1063611465, taxonomy code is 261QP2300X and license number is MD15903, license state is located at Oregon. Gordon F. Rose, Pc physically located at 544 W Umpqua St Ste 104, Roseburg OR, 97470-2999. NPI Number 1033115704 has the healthcare provider type.

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1063611465 NPI number is provided on an as is basis without warranty of any kind. 1063611465 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon F. Rose, Pc are for informational purposes only.