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General NPI Number Information
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NPI Number | 1174066278
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Entity Type | Organization
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Legal Business Name | UMPQUA HEALTH NEWTON CREEK, LLC
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 3031 NE STEPHENS ST
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City | ROSEBURG
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State | OR
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Zip | 97470
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Country | US
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Telephone | 541-229-7038
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Fax | 541-464-4474
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Provider Business Mailing Address
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Address Line | PO BOX 1700
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City | ROSEBURG
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State | OR
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Zip | 97470-0414
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Country | US
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Telephone | 541-229-7038
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Fax | 541-464-4474
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Authorized Official
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Title or Position | SENIOR DIRECTOR, DECISION SUPPORT A
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Name | SUZANNE S GOLDBERG
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Credential |
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Telephone | 541-464-4079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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