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Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Roseburg, Oregon
NPI 1568424711

Dva Healthcare Renal Care Inc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, OR and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Renal Care Inc practices in Roseburg, OR. The NPI Number for Dva Healthcare Renal Care Inc is 1568424711 and holds a License No. 170049 (Oregon).

The current practice location address for Dva Healthcare Renal Care Inc is 2410 Nw Edenbower Blvd, Roseburg, OR and can be reached out via phone at 541-672-4608 and via fax at 541-672-4817.

Location: 2410 Nw Edenbower Blvd, Roseburg, OR, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568424711
Provider Name
Dva Healthcare Renal Care Inc
Credential
Provider Entity Type
Organization
Address
2410 Nw Edenbower Blvd, Roseburg, OR, 37027-7569
Phone Number
541-672-4608
Fax Number
541-672-4817
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
133772 05 OR
institution
Provider Business Practice Location Address Details
Address
2410 Nw Edenbower Blvd
City
Roseburg
State
Oregon
Zip
97471-8830
Phone Number
541-672-4608
Fax Number
541-672-4817
person
Provider Business Mailing Address Details
Address
2410 Nw Edenbower Blvd
City
Roseburg
State
Oregon
Zip
97471-8830
Phone Number
541-672-4608
Fax Number
541-672-4817
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
170049 (Oregon)
Definition
Definition to come...
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