Roberts, Staci A

Roberts, Staci A is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801-9417. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Roberts, Staci A can be contacted via phone (541) 966-9830.

Contact Information

Primary practice address
46314 Timine Way Pendleton OR 97801-9417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 200842075RN Oregon

Profile Details

NPI number 1245965623
LBN Legal business name Roberts, Staci A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2022
Last updated Jul 20th, 2022 - about 2 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1245965623 NPPES
Oregon Other 200842075RN OREGON BOARD OF NURSING

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