Healthcare Provider Details

I. General information

NPI: 1285684001
Provider Name (Legal Business Name): ERIC LANGER GEISLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NE KENNETH FORD DR
ROSEBURG OR
97470-1042
US

IV. Provider business mailing address

150 NE KENNETH FORD DR
ROSEBURG OR
97470-1042
US

V. Phone/Fax

Practice location:
  • Phone: 541-672-9596
  • Fax: 541-492-2060
Mailing address:
  • Phone: 541-672-9596
  • Fax: 541-492-2060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMD18798
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: