Andrew Tyler Medlock
Andrew Tyler Medlock is a Community Health Worker in Roseburg, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
272 Medical Loop Ste CRoseburg, OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1407216260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 7, 2016 |
| Last updated in NPPES | March 7, 2016 |
| Mailing address | 1600 Nw Garden Valley Blvd, Suite 110, Roseburg, OR 97471 |
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William Thomas Martin
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