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Contact Information

GERALD ENGSTROM, MD
2510 NW EDENBOWER BLVD STE 112
ROSEBURG, OR97471
 Phone: 541-464-6260
 Fax: 541-229-0014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for GERALD ENGSTROM · (Male)

NPI # 1609851898
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2005
Last updated 10/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD15315
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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