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Contact Information

AVALON HEALTH CARE - ROSE HAVEN, LLC
740 NW HILL AVE
ROSEBURG, OR97471-1672
 Phone: 801-596-8844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AVALON HEALTH CARE ROSE HAVEN LLC · (Female)

NPI # 1952850760
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2016
Last updated 10/17/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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