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

Frederic J Van Dis, MD

Individual provider Cardiovascular Disease Physician · NPI 1093786261

Frederic J Van Dis, MD is a Cardiovascular Disease Physician in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

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

2801 NW Mercy Dr Ste 300
Roseburg, OR 97471
Phone: (541) 677-1555
Fax: (541) 677-6543
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Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD12356 (OR)

Record details

NPI number1093786261
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020
Mailing address201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835

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