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
Phone: (541) 966-9830
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245965623 | NPPES |
Oregon | Other | 200842075RN | OREGON BOARD OF NURSING |
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