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Edward J Ottenheimer III, MD
Hematology & Oncology Physician in Roseburg, Oregon
NPI 1881787547

Edward J Ottenheimer III is a Hematology & Oncology Physician based in Roseburg, OR and is specialized in Hematology & Oncology. Edward J Ottenheimer III practices in Roseburg, OR and has the professional credentials of MD. The NPI Number for Edward J Ottenheimer III is 1881787547 and holds a License No. MD20394 (Oregon).

The current practice location address for Edward J Ottenheimer III is 1813 W Harvard Ave, Roseburg, OR and can be reached out via phone at 541-673-0496 and via fax at 541-673-5794.

Location: 1813 W Harvard Ave, Roseburg, OR, 97471-8705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881787547
Provider Name
Edward J Ottenheimer III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1813 W Harvard Ave, Roseburg, OR, 97471-8705
Phone Number
541-673-0496
Fax Number
541-673-5794
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085790 05 OR
institution
Provider Business Practice Location Address Details
Address
1813 W Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-8705
Phone Number
541-673-0496
Fax Number
541-673-5794
person
Provider Business Mailing Address Details
Address
1813 W Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-8705
Phone Number
541-673-0496
Fax Number
541-673-5794
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD20394 (Oregon)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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