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VA
NPI 1235212986
Counselor - Addiction (Substance Use Disorder) in Roseburg, OR

Active since October 23, 2006CLIA 38D0988133 · Accreditation
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470(541) 440-1000(541) 440-1273 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Va NPPES

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

VA (NPI 1235212986) is a healthcare organization registered as an addiction (substance use disorder) in Roseburg, Oregon and active in the NPI registry since October 2006. The organization holds an CLIA Accreditation certificate valid through May 22, 2032 and lists George Marnell, Director, as its authorized official.

NPPES Registry Identity

NPI1235212986
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameVA
Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97470-6513
Mailing Address1281 Se Magnolia Dr.Roseburg, OR 97470-6513 · (541) 440-1000 · Fax (541) 440-1273
Phone(541) 440-1000
Fax(541) 440-1273
Organization SubpartNo
Authorized OfficialGeorge MarnellDirector · (541) 440-1000
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1235212986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
913 NW GARDEN VALLEY BLVD, Roseburg, OR 97470
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0988133

VA Brookings Community Based Opc · Brookings, OR
Active · expires May 22, 2032
CLIA Number38D0988133
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 21, 2001
Certificate Expiration DateMay 22, 2032
Laboratory DirectorDavid Rogers
Laboratory Phone(541) 440-1000
Laboratory LocationVA Brookings Community Based Opc840 Railroad Street, Brookings, OR 97415
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VA ROSEBURG HEALTHCARE SYSTEM
Psychiatric Hospital
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-1000
DR. ROGER STUART BOTHWELL M.D.
Surgery
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-1000
MS. JO ANN G. BERENBACH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
913 NW GARDEN VALLEY BLVD, BUILDING 2 MHC
ROSEBURG, OR 97470
Douglas County (541) 440-1000
DR. LUUL - GHEBREDNGHIL M.D.
Internal Medicine
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-1000
MATTHEW LYNDON JAMES RPH
Pharmacist
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-1000
JOHN MCCAFFREY M.D.
Radiology (Diagnostic Radiology)
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-1000
MS. MARY L GARVEY M.S. PHARM
Pharmacist
913 NW GARDEN VALLEY BLVD, VA ROSEBURG HEALTH CARE SYSTEM PHARMACY DEPT.
ROSEBURG, OR 97470
Douglas County (541) 440-1000
VETERANS AFFAIRS
Rehabilitation, Substance Use Disorder Unit
913 NW GARDEN VALLEY BLVD, WARD 2, BLDG 2, SARTP
ROSEBURG, OR 97470
Douglas County (541) 440-1000

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 VA's NPI number?

The NPI number for VA is 1235212986. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is VA located?

VA is located at 913 NW Garden Valley Blvd, Roseburg, OR 97470. The listed phone number is (541) 440-1000.

What is VA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does VA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 38D0988133) is associated with this NPI, valid through May 22, 2032. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for VA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.