South Umpqua Integrated Health LLC
NPI #1518521194 in Myrtle Creek, Oregon
Provider Information
- NPI Number
- 1518521194
- Entity Type
- Organization
- Organization Name
- South Umpqua Integrated Health LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 244 NE DIVISION ST
- City
- Myrtle Creek
- State
- Oregon
- ZIP Code
- 97457-8507
- Phone
- (541) 680-9028
Authorized Official
- Name
- DR. MIKE SHIRTCLIFF, DMD
- Title
- OWNER/DENTIST
- Phone
- (541) 680-9028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Dentist |
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