Pacific Healthcare Services, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC HEALTHCARE SERVICES, P.C.

Doing business as

White Oak Medical Center

Practice address

340 NW Medical Loop
Roseburg, OR 97471-1645

Phone

(541) 464-5907

Fax

(541) 464-8481

NPI assigned

Oct 14, 2013

Last updated

Oct 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane Bolduc, M.D.NPI 1174537047

Title

President

Phone

(541) 464-5907

Specialties & licenses 1

Addresses

Other names 1

• White Oak Medical Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Bolduc, M.D.

  • Family Medicine Physician
  • Roseburg, OR
  • NPI 1174537047
  Authorized official Same address or phone

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1760810527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NW MEDICAL LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711645",
            "telephone_number": "541-464-5907",
            "fax_number": "541-464-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW MEDICAL LOOP",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711645",
            "telephone_number": "541-464-5907",
            "fax_number": "541-464-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEALTHCARE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-464-5907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margot Ouimette, PA
• David E. Owens, MD
• Markelle Owens
• Janice Owings, FNP
• Pacific Crest Chiropractic and Wellness Center PC
• Jessica Padilla, CADCII QMHAII PSS CH
• Sarah A. Paeth, CNM
• Rebecca Michelle Page, M.S.
• Tiffany A Pagel
• Lauralen Elise Pahls Perham, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.