Organization · Type 2 NPI
Stephanie Riccalarsen, Md, LLC
Primary Care Clinic/Center · Roseburg, OR
NPI number
1750193405
Active
Practice location
2282 NW Troost St Ste 102
Roseburg, OR 97471-6072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1750193405
Stephanie Riccalarsen, Md, LLC's National Provider Identifier is 1750193405, issued on Jan 21, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Roseburg, OR. The record was last updated on Jan 21, 2025.