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ROSEBURG VA HEALTHCARE SYSTEM
NPI 1992737464
Clinic/Center - Adult Mental Health in Roseburg, OR

Active since July 07, 2006
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470(541) 607-7584(541) 600-7581 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Roseburg Va Healthcare System NPPES

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

ROSEBURG VA HEALTHCARE SYSTEM (NPI 1992737464) is a healthcare organization registered as an adult mental health in Roseburg, Oregon and active in the NPI registry since July 2006. The organization lists George Marnell, Medical Center Director, as its authorized official.

NPPES Registry Identity

NPI1992737464
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameROSEBURG VA HEALTHCARE SYSTEM
Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97470-6513
Mailing Address913 Nw Garden Valley BlvdRoseburg, OR 97470-6513 · (541) 607-7584 · Fax (541) 600-7581
Phone(541) 607-7584
Fax(541) 600-7581
Organization SubpartNo
Authorized OfficialGeorge MarnellMedical Center Director · (541) 440-1000
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1992737464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in OR · 1177
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 1177 (OR)
Also ListedGeneral Acute Care Hospital · RuralTaxonomy 282NR1301X · License 1177 (OR)

Other Names 1

Other NameEugene River Avenue Clinic

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 Roseburg VA Healthcare System's NPI number?

The NPI number for Roseburg VA Healthcare System is 1992737464. It was assigned to this organization in the NPPES registry on July 7, 2006. The provider is also known as Eugene River Avenue Clinic.

Where is Roseburg VA Healthcare System located?

Roseburg VA Healthcare System is located at 913 NW Garden Valley Blvd, Roseburg, OR 97470. The listed phone number is (541) 607-7584.

What is Roseburg VA Healthcare System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Roseburg VA Healthcare System was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.