NPI Profile for AVALON HEALTH CARE ROSE HAVEN LLC in ROSEBURG, OR.
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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 |
| 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 |
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