Jacquelyn Outcalt Groshong
M.D. | Pediatrics | Female
Jacquelyn Outcalt Groshong, M.D. is a Roseburg, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacquelyn Outcalt Groshong is
201 Medical Loop Rd, Suite 170, Roseburg, Oregon - 97471-8835. She can be contacted on phone at
541-957-5437 and fax number 541-464-5441.
Jacquelyn Outcalt Groshong is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacquelyn Outcalt Groshong is
1700893674 which was assigned by NPPES on 02 Aug, 2006 and it was last updated on 10 Sep, 2015.
Jacquelyn Outcalt Groshong license number is
MD18388 for Pediatrics (208000000X) in Oregon.
Jacquelyn Outcalt Groshong is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacquelyn Outcalt Groshong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacquelyn Outcalt Groshong |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jacquelyn Outcalt Groshong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 201 Medical Loop Rd, Suite 170
Roseburg, OR, 97471-8835
United States |
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| Phone Number : | 541-957-5437 |
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| Fax Number : | 541-464-5441 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700893674 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Aug, 2006 |
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| Last Updated On : | 10 Sep, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn Outcalt Groshong are as mentioned. Primary taxonomy code for Jacquelyn Outcalt Groshong, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD18388 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Jacquelyn Outcalt Groshong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 070511 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1700
Roseburg, OR, 97470-0414
United States |
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| Phone Number : | 541-957-5437 |
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| Fax Number : | 541-464-5441 |
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Business Location:
Patients can refer following map for directions to
Jacquelyn Outcalt Groshong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.