White Oak Medical Clinic LLC
NPI 1205305190 · Primary Care Clinic/Center · Roseburg, OR
White Oak Medical Clinic LLC is a Primary Care Clinic/Center organization in Roseburg, OR (NPI 1205305190).
Provider details
- NPI number
- 1205305190
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diane Bolduc, President(541) 464-5907
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-20
- Last updated
- 2025-05-22
- Certified
- 2025-05-21
Frequently asked questions
- What is White Oak Medical Clinic LLC's NPI number?
- White Oak Medical Clinic LLC's National Provider Identifier (NPI) is 1205305190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White Oak Medical Clinic LLC?
- White Oak Medical Clinic LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is White Oak Medical Clinic LLC located?
- White Oak Medical Clinic LLC's practice location on file with NPPES is 340 Nw Medical Loop, Roseburg, OR 97471-1645.
- What is White Oak Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for White Oak Medical Clinic LLC is (541) 464-5907.
- Who is the authorized official for White Oak Medical Clinic LLC?
- The authorized official listed on White Oak Medical Clinic LLC's NPPES record is Diane Bolduc, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White Oak Medical Clinic LLC's NPI active?
- Yes — White Oak Medical Clinic LLC's NPI (1205305190) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.