LAYNE S JORGENSEN DO, PC
Marriage and Family Therapists at Troost St, Roseburg, OR

License number
Oregon DO19045
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: LAYNE S JORGENSEN DO
Title: PRESIDENT
Phone: (541) 672-0497
Address
Address
2282 NW Troost St STE 103, Roseburg, OR 97470
National Provider ID: 1750374484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAYNE S. JORGENSEN, D.O., PC

Eugene, OR  -  Roseburg, OR

Registration:
May 17, 2002
Addresses:
PO Box 10567, Eugene, OR 97440 (Mailing)
2569 NW Edenbower Blvd, Roseburg, OR 97471 (Physical)
State ID:
8221095
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Derek Dsimmons,425 SE Jackson St, Roseburg, OR 97470 (Physical)

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