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Stacy Goodwin
Licensed Practical Nurse in Roseburg, Oregon
NPI 1922599935

Stacy Goodwin is a Licensed Practical Nurse based in Roseburg, OR. Stacy Goodwin practices in Roseburg, OR. The NPI Number for Stacy Goodwin is 1922599935 and holds a License No. 201709844LPN (Oregon).

The current practice location address for Stacy Goodwin is 621 W Madrone St, Roseburg, OR and can be reached out via phone at 541-492-0241.

Location: 621 W Madrone St, Roseburg, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922599935
Provider Name
Stacy Goodwin
Credential
Provider Entity Type
Individual
Gender
Female
Address
621 W Madrone St, Roseburg, OR, 97470-0254
Phone Number
541-492-0241
Fax Number
Provider Enumeration Date
05/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-492-0241
Fax Number
person
Provider Business Mailing Address Details
Address
621 W Madrone St
City
Roseburg
State
Oregon
Zip
97470-3090
Phone Number
541-492-0241
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
201709844LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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