National Provider Identifier Database

UMPQUA VALLEY WOMENS CARE PC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

UMPQUA VALLEY WOMENS CARE PC
2423 NW TROOST ST
ROSEBURG, OR97471-1706
Phone: 541-464-0788
Fax: 541-464-0789
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for UMPQUA VALLEY WOMENS CARE PC

NPI Number 1790905859
Legal business name
LBN
UMPQUA VALLEY WOMENS CARE PC
Authorized official STEVEN VANNUCCI - (COO/ CFO)
Entity Organization
Organization subpart No
Enumeration date 04/30/2007
Last updated 03/13/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: DO21702
  • OR Medicaid: 139406
  • OR Other: 067743001 BLUE CROSS

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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