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General NPI Number Information
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NPI Number | 1316288616
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Entity Type | Organization
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Legal Business Name | ROGUE COMMUNITY HEALTH
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 19 MYRTLE STREET
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City | MEDFORD
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State | OR
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Zip | 97504
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Country | US
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Telephone | 541-842-7747
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Fax | 541-842-7637
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Provider Business Mailing Address
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Address Line | 1221 DISK DR
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City | MEDFORD
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State | OR
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Zip | 97501-6638
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Country | US
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Telephone | 541-842-7747
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Fax | 541-842-7637
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Authorized Official
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Title or Position | CFO
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Name | MR. CALISA N WARNKE
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Credential |
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Telephone | 541-842-7642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP0002740CS
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License Number State | OR
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