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Chad Padovich, FNP
Family Nurse Practitioner in Roseburg, Oregon
NPI 1295139863

Chad Padovich is a Family Nurse Practitioner based in Roseburg, OR and is specialized in Family. Chad Padovich practices in Roseburg, OR and has the professional credentials of FNP. The NPI Number for Chad Padovich is 1295139863 and holds a License No. 6656184-4405 (Oregon).

The current practice location address for Chad Padovich is 150 Ne Kenneth Ford Dr, Roseburg, OR and can be reached out via phone at 541-672-9596.

Location: 150 Ne Kenneth Ford Dr, Roseburg, OR, 97471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295139863
Provider Name
Chad Padovich
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
150 Ne Kenneth Ford Dr, Roseburg, OR, 97471
Phone Number
541-672-9596
Fax Number
Provider Enumeration Date
10/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Ne Kenneth Ford Dr
City
Roseburg
State
Oregon
Zip
97470-1042
Phone Number
541-672-9596
Fax Number
person
Provider Business Mailing Address Details
Address
150 Ne Kenneth Ford Dr
City
Roseburg
State
Oregon
Zip
97470-1042
Phone Number
541-672-9596
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6656184-4405 (Utah)
Definition
Definition to come...
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