NPI 1003364779

Cep America-Telehealth, PC

Organisation Psychiatry Physician Roseburg, OR

Practice location

Address: 2700 NW Stewart Pkwy, Roseburg, OR 97471-1281
Phone: (541) 673-0611
Mailing address: 2100 Powell St STE 900, Emeryville, CA 94608-1844

Authorised official

Name: Theophile Koury
Title: President
Phone: (510) 350-2600

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Other Psychiatry & Neurology providers in Oregon →

Registry record

NPI: 1003364779
Entity type: Organization
NPI issued: 12 Sep 2016
Record last updated: 2 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.