GERALD ENGSTROM NPI 1316122708

NPI Information

  • NPI: 1316122708
  • Provider Name: GERALD ENGSTROM
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 1813 W HARVARD AVE STE 427
    ROSEBURG, OR
    ZIP 97470
  • Phone: (541) 673-3447

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NPI Details

GERALD ENGSTROM is a gastroenterology internal medicine in Roseburg, OR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GERALD ENGSTROM NPI is 1316122708. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1813 W HARVARD AVE STE 427
ROSEBURG, OR
ZIP 97470-712
Phone: (541) 673-3447
Fax: (541) 677-9712

The provider's authorized official is Gerald W Engstrom .
The authorized official title is Owner and has the following contact phone number (541) 673-3447.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 1/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyMD15315OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1151282MEDICAIDOREGON
2R111595MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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