NPI 1003890153

Jerry D. Boggs, MD

Practitioner Neurology Physician Roseburg, OR

Practice location

Address: 1741 West Harvard Ave, Roseburg, OR 97471-2716
Phone: (541) 440-5320
Fax: (541) 440-5322
Mailing address: PO Box 1700, Roseburg, OR 97470-0414

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence MD20969 (OR)

Other Psychiatry & Neurology providers in Oregon →

Registry record

NPI: 1003890153
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2005
Record last updated: 10 Sep 2015

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.