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Evergreen Family Medicine, Pc
Clinical Medical Laboratory in Roseburg, Oregon
NPI 1568434025

Evergreen Family Medicine, Pc is a Clinical Medical Laboratory based in Roseburg, OR. Evergreen Family Medicine, Pc practices in Roseburg, OR. The NPI Number for Evergreen Family Medicine, Pc is 1568434025 and holds a License No. (Oregon).

The current practice location address for Evergreen Family Medicine, Pc is 1973 W Harvard Avenue, Roseburg, OR and can be reached out via phone at 541-677-7200 and via fax at 541-229-3309.

Location: 1973 W Harvard Avenue, Roseburg, OR, 97471-6214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568434025
Provider Name
Evergreen Family Medicine, Pc
Credential
Provider Entity Type
Organization
Address
1973 W Harvard Avenue, Roseburg, OR, 97471-6214
Phone Number
541-677-7200
Fax Number
541-229-3309
Provider Enumeration Date
02/07/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
J8799-01 01 OR GROUP PACIFIC SOURCE
610550200 01 OR GROUP OWCP
845023000 01 OR GROUP BLUE CROSS
213560 05 OR
institution
Provider Business Practice Location Address Details
Address
1973 W Harvard Avenue
City
Roseburg
State
Oregon
Zip
97471-2720
Phone Number
541-677-7200
Fax Number
541-229-3309
person
Provider Business Mailing Address Details
Address
1973 W Harvard Avenue
City
Roseburg
State
Oregon
Zip
97471-2720
Phone Number
541-677-7200
Fax Number
541-229-3309
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
()
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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