Layne S Jorgensen Do, PC

NPI #1750374484 in Roseburg, Oregon

Provider Information

NPI Number: 1750374484
Entity Type: Organization
Organization Name: Layne S Jorgensen Do, PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 29, 2005
Last Updated: Jul 29, 2008

Practice Location

Address: 2282 NW TROOST ST
Address 2: STE 103
City: Roseburg
State: Oregon
ZIP Code: 97470-6071
Phone: (541) 672-0497

Authorized Official

Name: LAYNE S JORGENSEN, DO
Title: PRESIDENT
Phone: (541) 672-0497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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