Healthcare Provider Details

I. General information

NPI: 1447332135
Provider Name (Legal Business Name): JANICE OWINGS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 NW GARDEN VALLEY BLVD
ROSEBURG OR
97470-6523
US

IV. Provider business mailing address

4194 MELQUA RD
ROSEBURG OR
97470-8955
US

V. Phone/Fax

Practice location:
  • Phone: 541-440-1000
  • Fax: 541-440-1200
Mailing address:
  • Phone: 541-464-2705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR050699
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: