Healthcare Provider Details

I. General information

NPI: 1730161571
Provider Name (Legal Business Name): THOMAS S TURK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2589 NW EDENBOWER BLVD
ROSEBURG OR
97471-6224
US

IV. Provider business mailing address

2589 NW EDENBOWER BLVD
ROSEBURG OR
97471-6224
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-8533
  • Fax: 855-670-1788
Mailing address:
  • Phone: 541-672-8533
  • Fax: 855-670-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberK7632
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: