person
Mark Pequignot, DNPFNP
Family Nurse Practitioner in Roseburg, Oregon
NPI 1770272148

Mark Pequignot is a Family Nurse Practitioner based in Roseburg, OR and is specialized in Family. Mark Pequignot practices in Roseburg, OR and has the professional credentials of DNPFNP. The NPI Number for Mark Pequignot is 1770272148 and holds a License No. 10010332 (Oregon).

The current practice location address for Mark Pequignot is 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR and can be reached out via phone at 541-236-9246 and via fax at 541-464-0789.

Location: 1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR, 97471-1636
person
Provider Profile Details
NPI Number
1770272148
Provider Name
Mark Pequignot
Credential
DNPFNP
Provider Entity Type
Individual
Gender
Male
Address
1700 Nw Garden Valley Blvd Ste 201, Roseburg, OR, 97471-1636
Phone Number
541-236-9246
Fax Number
541-464-0789
Provider Enumeration Date
05/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1700 Nw Garden Valley Blvd Ste 201
City
State
Zip
97471-1636
Phone Number
541-236-9246
Fax Number
541-464-0789
person
Provider Business Mailing Address Details
Address
1700 Nw Garden Valley Blvd Ste 201
City
State
Zip
97471-1636
Phone Number
541-236-9246
Fax Number
541-464-0789
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10010332 (Oregon)
Definition
Definition to come...
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