Rogue Medical Llc

LBN: Rogue Medical Llc
Rogue Medical Llc is an health care organization with primary practice located at 205 N Phoenix Rd Ste 430 , Phoenix OR 97535-9108. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is the primary health care specialty. Rogue Medical Llc can be contacted via phone (541) 778-4517, or through Johnson, Ben Douglas via phone (541) 778-4517.

Contact Information

Primary practice address
205 N Phoenix Rd Ste 430 Phoenix OR 97535-9108
Phone: (541) 778-4517
Fax: (541) 833-0995
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Ben Douglas Physician's Assistant Certified (PA-C)
Phone: (541) 778-4517

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1265298400
LBN Legal business name Rogue Medical Llc
DBA Doing business as
Authorized official Johnson, Ben Douglas Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2024
Last updated Feb 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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