Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Diane Bolduc, MD

Individual provider Family Medicine Physician · NPI 1174537047

Diane Bolduc, MD is a Family Practice in Roseburg, Oregon. Qualified in 1999, 27 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
27
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

340 Medical Loop
Roseburg, OR 97470-1645
Phone: (541) 464-5907
Fax: (541) 464-8481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD23487 (OR)

Record details

NPI number1174537047
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 9, 2007
Mailing address340 Medical Loop, Roseburg, OR 97470-1645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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