Active NPIIndividual provider

Tabitha M Canales, RN

Registered Nurse in Bend, Oregon

NPI Number1053978999
Practice location
20370 Poe Sholes Dr, Bend, OR 97703-7938
Fax
541-330-6455
Last updated
May 28, 2019

Tabitha Marie Canales is a Registered Nurse based in Bend, OR. Tabitha Marie Canales practices in Bend, OR and has the professional credentials of RN. The NPI Number for Tabitha Marie Canales is 1053978999 and holds a License No. 201405440RN (OR). The current practice location address for Tabitha Marie Canales is 20370 Poe Sholes Dr, Bend, OR 97703-7938 and can be reached out via phone at 541-318-1377 and via fax at 541-330-6455.

Provider Profile Details

NPI Number
1053978999
Provider Name
Tabitha Marie Canales
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
20370 Poe Sholes Dr, Bend, OR 97703-7938
Phone Number
541-318-1377
Fax Number
541-330-6455
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2019
Last Update Date
May 28, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
20370 Poe Sholes Dr
Bend, OR 97703-7938
City
Bend
State
Oregon
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
541-330-6455
Bend, OR 97703Get directions →

Provider Business Mailing Address Details

Address
20370 Poe Sholes Dr
Bend, OR 97703-7938
City
Bend
State
OR
Zip
97703-7938
Phone Number
541-318-1377
Fax Number
541-330-6455

License Information

License Number
201405440RN
License State
OR
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tabitha M Canales, RN?

The NPI number of Tabitha M Canales, RN is 1053978999. It was assigned on May 28, 2019 and is currently active in the NPPES registry.

What is the specialty of Tabitha M Canales, RN?

Tabitha M Canales, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in OR under license number 201405440RN.

Where does Tabitha M Canales, RN practice?

The practice location is 20370 Poe Sholes Dr, Bend, OR 97703-7938. The office can be reached at 541-318-1377 (phone) or 541-330-6455 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053978999 directly on the NPPES registry website.

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