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1609847722

NPI Code Detail

MEDICARE: ROBERT E OKASINSKI MD

MEDICARE: ROBERT E OKASINSKI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	35-046219	OH
2	207P00000X	Emergency Medicine Physician	MD150279	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609847722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E OKASINSKI MD

Provider Business Mailing Address
First Line	:	700 D ST
Second Line	:
City	:	ELKTON
State	:	OR
Zip	:	97436-7513
Country	:	US
Telephone Number	:	419-239-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 NW STEWART PKWY
Second Line	:
City	:	ROSEBURG
State	:	OR
Zip	:	97471-1281
Country	:	US
Telephone Number	:	541-673-0611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	05/21/2014

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Directions to “ ROBERT E OKASINSKI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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