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Staci A Roberts, RN
General Practice Registered Nurse in Pendleton, Oregon
NPI 1245965623

Staci A Roberts is a General Practice Registered Nurse based in Pendleton, OR and is specialized in General Practice. Staci A Roberts practices in Pendleton, OR and has the professional credentials of RN. The NPI Number for Staci A Roberts is 1245965623 and holds a License No. 200842075RN (Oregon).

The current practice location address for Staci A Roberts is 46314 Timine Way, Pendleton, OR and can be reached out via phone at 541-966-9830.

Location: 46314 Timine Way, Pendleton, OR, 97801-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245965623
Provider Name
Staci A Roberts
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
46314 Timine Way, Pendleton, OR, 97801-0160
Phone Number
541-966-9830
Fax Number
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200842075RN 01 OR OREGON BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
person
Provider Business Mailing Address Details
Address
46314 Timine Way
City
Pendleton
State
Oregon
Zip
97801-9417
Phone Number
541-966-9830
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
200842075RN (Oregon)
Definition
Definition to come...
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