Umpqua Regional Medical Center Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UMPQUA REGIONAL MEDICAL CENTER DIAGNOSTICS

Practice address

123 Ponderosa Dr
Suite 101
Sutherlin, OR 97479-9812

Phone

(541) 459-3500

Fax

(541) 459-4040

NPI assigned

Oct 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Lee Warner

Title

Assistant Manager

Phone

(541) 957-3079

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1124353289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PONDEROSA DR",
            "address_2": "SUITE 101",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799812",
            "telephone_number": "541-459-3500",
            "fax_number": "541-459-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PONDEROSA DR",
            "address_2": "SUITE 101",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799812",
            "telephone_number": "541-459-3500",
            "fax_number": "541-459-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA REGIONAL MEDICAL CENTER DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "541-957-3079"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Tabaldo
• Therapeutic Associates, Inc
• Scott Edward Thomson, RPH
• Toby J. Palm O.D., P.C.
• Umpqua Community Health Center, Inc.
• Matt Vincent Vaccaro, LA.C
• Dennis Weathers
• Dorothy Ann White, LPN
• Daniel James Woods, DMD

• All providers in Sutherlin, OR
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.