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

Edward J Ottenheimer III, MD

Individual provider Hematology & Oncology Physician · NPI 1881787547

Edward J Ottenheimer III, MD is a Hematology/Oncology in Roseburg, Oregon. Qualified in 1982, 44 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
44
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

1813 W Harvard Ave Ste 436
Roseburg, OR 97471-8705
Phone: (541) 673-0496
Fax: (541) 673-5794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence MD20394 (OR)

Record details

NPI number1881787547
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJanuary 11, 2020
Certification dateJanuary 11, 2020

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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