Fred Black MD PC
Fred Black MD PC provides Family Medicine Physician services in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2282 NW Troost St Ste 103Roseburg, OR 97471-6071 Not confirmed with CMS for 14 years — call before visiting
Phone: (541) 672-0497
Fax: (541) 957-2663
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD10476 (OR) |
|---|
Record details
| NPI number | 1710970330 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frederick Black — President · (541) 672-0497 |
| NPI enumerated | August 30, 2005 |
| Last updated in NPPES | November 21, 2011 |
| Mailing address | 2282 Nw Troost St, Suite 103, Roseburg, OR 97471-6071 |
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Gerald A. Jaworski, MD, PC
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-
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