Layne S Jorgensen DO, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO19045 Issued in OR

Legal business name

LAYNE S JORGENSEN DO, PC

Practice address

2282 NW Troost St
Ste 103
Roseburg, OR 97470-6071

Phone

(541) 672-0497

Fax

(541) 957-2663

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Layne S Jorgensen, DONPI 1477698173

Title

President

Phone

(541) 672-0497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Layne S Jorgensen, DO

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1477698173
  NPD (past) Authorized official

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1750374484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST",
            "address_2": "STE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706071",
            "telephone_number": "541-672-0497",
            "fax_number": "541-957-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST",
            "address_2": "STE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974706071",
            "telephone_number": "541-672-0497",
            "fax_number": "541-957-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNE S JORGENSEN DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-672-0497",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO19045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218556",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica Laurent
• Bradford Lane Lavanway, PHARM.D.
• Hannah Laverne
• Susan Lavin
• Candace M Lawson
• Kelsey Leach, LMT
• Joyce Leaton
• Patti Lynn Lebouef
• Kathryn Lechner, CNM
• Chad Ledbetter

• Family Medicine Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.