| Douglas C.a.r.e.s | |
|
1939 Ne Diamond Lake Blvd Roseburg OR 97470-3573 | |
| (541) 957-5646 | |
| (541) 957-0191 |
| Full Name | Douglas C.a.r.e.s |
|---|---|
| Speciality | Clinic/center |
| Location | 1939 Ne Diamond Lake Blvd, Roseburg, Oregon |
| Authorized Official Name and Position | Rhonda Foster (BILLING/CREDENTIALING DEPT) |
| Authorized Official Contact | 5419575646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas C.a.r.e.s 1939 Ne Diamond Lake Blvd Roseburg OR 97470-3573 Ph: (541) 957-5646 | Douglas C.a.r.e.s 1939 Ne Diamond Lake Blvd Roseburg OR 97470-3573 Ph: (541) 957-5646 |
| NPI Number | 1750402913 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750402913 | NPI | - | NPPES |
| 500698816 | Other | OR | MENTAL HEALTH |
| 165534 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 00819782-7 (Oregon) | Primary |
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