IndividualActive
Frederic Van Dis, MD
NPI 1093786261 · Cardiovascular Disease Physician · Roseburg, OR
Provider details
- NPI number
- 1093786261
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD12356 (OR)
Practice location
2801 Nw Mercy Dr
Ste. 300
Roseburg, OR 97471
Phone: (541) 677-1555
Fax: (541) 677-6543
Mailing address
201 Nw Medical Loop Ste 190
Roseburg, OR 97471-8835
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2020-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.