Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lifetime Health Clinic

Organization Cardiovascular Disease Physician · NPI 1639275712

Lifetime Health Clinic provides Cardiovascular Disease Physician services in Roseburg, Oregon. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

868 NW Garden Valley Blvd
Roseburg, OR 97470-1959 Not confirmed with CMS for 18 years — call before visiting
Phone: (541) 673-4513
Fax: (541) 672-6384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1639275712
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Sproed — Physician Owner · (541) 673-4513
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 3, 2008
Mailing address868 Nw Garden Valley Blvd, Roseburg, OR 97470-1959

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