Organization · NPI-2

Alternative Medicine Outreach Program

Family Medicine · Roseburg, OR

NPI number1841487451
StatusActive
Last updated in NPPESAug 26, 2011

Details

NPI
1841487451
Entity type
Organization (NPI-2)
Legal business name
Alternative Medicine Outreach Program
Organization subpart
No
Enumeration date
Sep 27, 2007
Last updated
Aug 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Amop (Other Name)

Practice location

455 W Corey Ct
Roseburg, OR 97470-3078

Phone 541-440-1934 · Fax 541-440-1943

Mailing address

455 W Corey Ct
Roseburg, OR 97470-3078

Phone 541-440-1934 · Fax 541-440-1943

Authorized official

Donna Gail Eide
President
15414401934

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