IndividualActive
Andrew Medlock
NPI 1407216260 · Community Health Worker · Roseburg, OR
Provider details
- NPI number
- 1407216260
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
272 Medical Loop
Suite C
Roseburg, OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Nw Garden Valley Blvd
Roseburg, OR 97471
Registry dates
- Enumerated
- 2016-03-07
- Last updated
- 2016-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.