Healthcare Provider Details

I. General information

NPI: 1851434161
Provider Name (Legal Business Name): DENIS W SAUNDERS MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 SE JACKSON ST STE 11
ROSEBURG OR
97470-4956
US

IV. Provider business mailing address

415 WOODCREST DR
MYRTLE CREEK OR
97457-7414
US

V. Phone/Fax

Practice location:
  • Phone: 541-464-6455
  • Fax:
Mailing address:
  • Phone: 541-860-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: