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White Oak Medical Clinic LLC

Primary Care Clinic/Center in Roseburg, OR · enumerated 2018 · authorized official Diane Bolduc, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205305190

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Registry record

Entity type Organization (Type 2)
Legal business name White Oak Medical Clinic LLC
Practice address 340 Nw Medical Loop, Roseburg, OR, 97471
Fax (541) 464-8481
Enumeration date Nov 20, 2018
Last updated in NPPES May 22, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Diane Bolduc
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is White Oak Medical Clinic LLC?
White Oak Medical Clinic LLC is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-22.