NPI 1063776961
Darci Lee Shivers, QMHA
Practice location
- Address
- 272 Medical Loop Suite C, Roseburg, OR 97471
- Phone
- (541) 440-3532
- Fax
- (541) 440-3554
- Mailing address
- 272 Medical Loop Suite E, Roseburg, OR 97471
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1063776961
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jun 2012
- Record last updated
- 18 May 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.