Conklin, Tina Marie

Conklin, Tina Marie is an individual health care provider with primary practice located at 3099 Ne Diamond Lake Blvd , Roseburg OR 97470-3655. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Conklin, Tina Marie can be contacted via phone (541) 673-3469.

Contact Information

Primary practice address
3099 Ne Diamond Lake Blvd Roseburg OR 97470-3655
Phone: (541) 673-3469
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 21-QMHA-R-1339 Oregon
Nursing Service Providers / Licensed Practical Nurse 164W00000X 200330020LPN Oregon

Profile Details

NPI number 1447823810
LBN Legal business name Conklin, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2021
Last updated Jul 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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