| Frederick J Black, MD | |
| 
					2282 Nw Troost St, Suite 103, Roseburg, OR 97470-6071  | |
| (541) 672-0497 | |
| (541) 957-2663 | 
| Full Name | Frederick J Black | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 2282 Nw Troost St, Roseburg, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942343074 | NPI | - | NPPES | 
| 225581 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MD10476 (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Frederick J Black, MD 2282 Nw Troost St, Suite 103, Roseburg, OR 97470-6071 Ph: (541) 672-0497  | Frederick J Black, MD 2282 Nw Troost St, Suite 103, Roseburg, OR 97470-6071 Ph: (541) 672-0497  | 
Misha Marie Peel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596  | |
Dr. John Travis Melling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-646-3519  | |
Candace Marie Hatton, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471 Phone: 541-537-8007  | |
Dr. Brandon W Bonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309  | |
Dr. Marie Hebert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471 Phone: 541-464-5907 Fax: 541-464-8481  | |
Dr. Gerald Andrew Jaworski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471 Phone: 541-673-0609 Fax: 541-440-9387  | |
Vishal Kottapalli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309  |