Individual provider · NPI-1
Nathan James Andrews, MD
Family Medicine · Roseburg, OR
NPI number1730685678
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1730685678
- Entity type
- Individual (NPI-1)
- Name
- Nathan James Andrews
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2018
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD205638 | OR | Yes |
Practice location
150 Ne Kenneth Ford DrRoseburg, OR 97470-1042
Phone 541-672-9596
Mailing address
150 Ne Kenneth Ford DrRoseburg, OR 97470-1042
Phone 541-672-9596
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