Lower Umpqua Hospital District
Organization Active NPI Community/Retail Pharmacy · Reedsport, OR
NPI 1336334754 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1336334754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- RP0002535 (OR)
- Legal business name
- LOWER UMPQUA HOSPITAL DISTRICT
- Practice address
- 312 Fir Ave
Reedsport, OR 97467-1425 - Phone
- (541) 271-6370
- Fax
- (541) 271-6369
- NPI assigned
- Sep 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Green
- Title
- Ceo
- Phone
- (541) 271-6313
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 5
Practitioners 88
-
Heather Jo Bailey, LCSW
-
Erin Christina Berry, FNP
-
David Candelaria, M.D.
-
Ian Patrick Coe, MD
-
Colton Joseph Danforth, PA-C
-
Christine Dotson, FNP-C
-
Mark Lewis Epstein, M.D.
-
David J Irvine, M.D.
-
Allison Renee Mello, LCSW
-
Jason Sargent, D.O.
-
George Schultz, DO
-
Gregory Shank, MD
-
Roma J Sprung, MD
-
Nancy J. Vanasche, MSN, FNP-C
-
Daniel Barker, M.D.
-
Aaron Todd Benner, M.D.
-
David M Cameron, M.D.
-
Tamara Carroll, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Lower Umpqua Hospital |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Lower Umpqua Hospital District |
Hospital | Operational/Managerial Control | Jan 1, 1966 |
| Dunes Family Health Care |
Rural health clinic | Operational/Managerial Control | Aug 5, 2013 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240513001575 | OR | Part B Supplier - Pharmacy | 6800703562 | Practice locations: Reedsport, OR |
National Provider Directory
- Tax ID family
- Shirene Nourbash MD
Locations
312 Fir Ave
Reedsport, OR 97467
Phone (541) 271-6326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP0002535 | OR | Yes |
Addresses
Primary practice location
312 Fir Ave
Reedsport, OR 97467-1425
Mailing address
600 Ranch Rd
Reedsport, OR 97467-1720
Phone (541) 271-6370
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278932 | Medicaid | OR | |
| 3842918 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- LOWER UMPQUA HOSPITAL PHARMACY
Other providers in Reedsport, OR
- Gautham Reddy Kandukuri
- Robert D Law
- Kenneth Lee Lawson
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
- Lower Umpqua Hospital District
All providers in Reedsport, OR · Community/Retail Pharmacy in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.