1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Nurse Practitioner
  6. NPI Profile

VA ROSEBURG HEALTH CARE SYSTEM
NPI 1528093721
Nurse Practitioner - Psychiatric/Mental Health in Roseburg, OR

Active since July 12, 2006
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470(541) 440-1000(541) 440-1366 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Va Roseburg Health Care System NPPES

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

VA ROSEBURG HEALTH CARE SYSTEM (NPI 1528093721) is a healthcare organization registered as a psychiatric/mental health in Roseburg, Oregon and active in the NPI registry since July 2006. The organization lists George Marnell, Director, as its authorized official.

NPPES Registry Identity

NPI1528093721
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVA ROSEBURG HEALTH CARE SYSTEM
Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97470-6523
Mailing Address913 Nw Garden Valley BlvdRoseburg, OR 97470-6523
Phone(541) 440-1000
Fax(541) 440-1366
Organization SubpartNo
Authorized OfficialGeorge MarnellDirector · (541) 440-1000
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528093721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 085075393N6
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

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 Roseburg Health Care System's NPI number?

The NPI number for VA Roseburg Health Care System is 1528093721. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is VA Roseburg Health Care System located?

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

What is VA Roseburg Health Care System's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for VA Roseburg Health Care System was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.