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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for UMPQUA VALLEY WOMENS CARE PC

NPI # 1790905859
LBN Legal business name UMPQUA VALLEY WOMENS CARE PC
Authorized official STEVEN VANNUCCI - (COO/ CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2007
Last updated 03/13/2009 - About 17 years ago
Identifiers
OR License # DO21702
OR Medicaid 139406
OR Other 067743001 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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