NPI 1154431542

Deric V Ravsten, DO

Practitioner Psychiatry Physician Roseburg, OR

Practice location

Address: 621 W Madrone St STE 330, Roseburg, OR 97470-3090
Phone: (541) 672-2691
Fax: (877) 284-2783
Mailing address: PO Box 1121, Roseburg, OR 97470-0254

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence DO219571 (OR)

Other Psychiatry & Neurology providers in Oregon →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence O-290 (ID)

Registry record

NPI: 1154431542
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 17 Mar 2025

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.