VA Roseburg Health Care System

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

79043284 Issued in OR

Legal business name

VA ROSEBURG HEALTH CARE SYSTEM

Practice address

913 NW Garden Valley Blvd
Roseburg, OR 97470-6523

Phone

(541) 440-1000

Fax

(541) 440-1344

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mark Bradley, M.D.

Title

Chief of Staff

Phone

(541) 440-1000

Specialties & licenses 1

Addresses

Other names 1

• U.S.Department of Veteran Affairs Doing business as

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1467548917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 DEL RIO RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974709557",
            "telephone_number": "541-440-1000",
            "fax_number": "541-440-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 NW GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706523",
            "telephone_number": "541-440-1000",
            "fax_number": "541-440-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA ROSEBURG HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "541-440-1000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "OR",
            "license": "79043284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S.Department of Veteran Affairs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Mae Uram
• Susan Uravich, RD
• Uvima - Umpqua Valley Integrative Medicine and Acupuncture
• Michael Damien Uyeda, MD
• VA
• VA Roseburg Health Care System
• VA Roseburg Health Care System
• VA Roseburg Healthcare System
• Joseph Albert Valades, CSW/PHD
• Karisa Valance

• VA Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• VA Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.