Provider First Line Business Practice Location Address:
ROSEBURG VA HOSPITAL
Provider Second Line Business Practice Location Address:
913 N.W. GARDEN VALLEY BLVD.
Provider Business Practice Location Address City Name:
ROSEBURG
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97470
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-440-1000
Provider Business Practice Location Address Fax Number:
541-440-1374
Provider Enumeration Date:
10/05/2006