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ROSEBURG CLINIC PC
NPI 1023094307
Clinic/Center - Multi-Specialty in Roseburg, OR

Active since December 19, 2005
2750 W HARVARD AVE, ROSEBURG, OR 97471(541) 673-8988(541) 672-8103 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Roseburg Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEBURG CLINIC PC (NPI 1023094307) is a healthcare organization registered as a multi-specialty in Roseburg, Oregon and active in the NPI registry since December 2005. The organization lists Dell G Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023094307
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameROSEBURG CLINIC PC
Location Address2750 W HARVARD AVERoseburg, OR 97471-2608
Mailing Address2750 W Harvard AveRoseburg, OR 97471-2608 · (541) 673-8988 · Fax (541) 672-8103
Phone(541) 673-8988
Fax(541) 672-8103
Organization SubpartNo
Authorized OfficialDell G GrayCeo · (541) 673-8988
Enumeration DateDecember 19, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1023094307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2750 W HARVARD AVE, Roseburg, OR 97471
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Other Identifiers 4

Medicaid136247OR
Medicare NSC1164790004OR
Medicare NSC1164790003OR
Medicare ID-Type Unspecified0000WFBPG

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roseburg Clinic PC's NPI number?

The NPI number for Roseburg Clinic PC is 1023094307. It was assigned to this organization in the NPPES registry on December 19, 2005.

Where is Roseburg Clinic PC located?

Roseburg Clinic PC is located at 2750 W Harvard Ave, Roseburg, OR 97471. The listed phone number is (541) 673-8988.

What is Roseburg Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Roseburg Clinic PC was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.