Organization Active NPI

Alternative Medicine Outreach Program

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1841487451
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALTERNATIVE MEDICINE OUTREACH PROGRAM
Practice address
455 W Corey CT
Roseburg, OR 97470-3078
Phone
(541) 440-1934
Fax
(541) 440-1943
NPI assigned
Sep 27, 2007
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Ms. Donna Gail Eide
Title
President
Phone
(541) 440-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

455 W Corey CT
Roseburg, OR 97470-3078

Mailing address

455 W Corey CT
Roseburg, OR 97470-3078
Phone (541) 440-1934

Other names 1

  • AMOP Other name

National Provider Directory

National Provider Directory

Locations

455 W Corey Ct
Roseburg, OR 97470
Phone (541) 440-1934

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1841487451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COREY CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703078",
            "telephone_number": "541-440-1934",
            "fax_number": "541-440-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W COREY CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703078",
            "telephone_number": "541-440-1934",
            "fax_number": "541-440-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE MEDICINE OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "EIDE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "15414401934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.