38D2098579 CLIA NUMBER - UMPQUA VALLEY INTERNISTS PC

Laboratory Demographics

CLIA Number: 38D2098579

Facility Name: UMPQUA VALLEY INTERNISTS PC

Facility Address:
1813 W HARVARD AVE SUITE 423
ROSEBURG, OR
ZIP 97471
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Facility Phone Number: 541 440-6323

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780065870

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 38D2098579
LAB Type Physician Office
Facility Name UMPQUA VALLEY INTERNISTS PC
Street 1813 W HARVARD AVE SUITE 423
City ROSEBURG
State OR
ZIP 97471
Phone 541 440-6323
CertificateType 4
CertificateEffectiveDate 7/9/2023
CertificateExpirationDate 7/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024