Mary Rose Waggoner QMHA

  • NPI 1083979264
According to our database, the NPI number for Mary Rose Waggoner QMHA is 1083979264 and activated since 11 years ago. Mary Rose Waggoner QMHA is an individual provider who specializes in Community Health Worker, and the primary practice location is 2700 Nw Stewart Pkwy, Roseburg, OR 97471. You can also contact Mary Rose Waggoner QMHA via telephone number is (541) 440-3532. Provider NPI information was last updated on 10/27/2016.

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Overview of Mary Rose Waggoner QMHA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/12/2012
  • Last updated: 10/27/2016

Primary Scrop of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 272 Nw Medical Loop
    Suite E
    Roseburg, OR 97471
  • Phone: 541-440-3532
  • Fax: 541-440-3554

Provider Practice Location

  • Address: 2700 Nw Stewart Pkwy
    Annex B
    Roseburg, OR 97471
  • Phone: 541-440-3532
  • Fax: 541-440-3554

Scope of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number:
  • License State:
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 500663428
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mary Rose Waggoner QMHA?
  • A: The npi number for Mary Rose Waggoner QMHA is 1083979264.
  • Q: What are Mary Rose Waggoner QMHA's specialties?
  • A: Mary Rose Waggoner QMHA's specialties are Community Health Worker and different specialities.
  • Q: What is the medical license for Mary Rose Waggoner QMHA?
  • A: The medical license number for Mary Rose Waggoner QMHA is unknow and issued in unknow in USA.
  • Q: Where is Mary Rose Waggoner QMHA practice location?
  • A: Mary Rose Waggoner QMHA is practicing at 2700 Nw Stewart Pkwy, Roseburg, OR 97471.
  • Q: How to contact Mary Rose Waggoner QMHA?
  • A: You can contact Mary Rose Waggoner QMHA via 541-440-3532.
Medicare Specialty
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Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.