Staci A. Roberts, RN

General Practice Registered Nurse · Pendleton, OR

Individual Active NPI

NPI number 1245965623

Practice location

46314 Timine Way
Pendleton, OR 97801-9417
Phone
(541) 966-9830

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NPI record

NPI
1245965623
Entity type
Individual (Type 1)
Enumeration date
July 20, 2022
Last updated
July 20, 2022
Certified
July 20, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Registered Nurse Primary 163WG0000X 200842075RN OR

Mailing address

PO Box 160
Pendleton, OR 97801-0160
Phone
(541) 966-9830

About Staci Roberts

Staci A. Roberts, RN is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Registered Nurse (code 163WG0000X). The practice location is 46314 Timine Way, Pendleton, OR 97801-9417. The NPI number 1245965623 was assigned on July 20, 2022 and the record was last updated on July 20, 2022.

Staci Roberts lists a license in the registry: #200842075RN (OR) for General Practice Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Staci A. Roberts, RN?

The NPI number is 1245965623.

What is the phone number of Staci Roberts?

The phone number listed for the practice location is (541) 966-9830.

Where is Staci Roberts located?

46314 Timine Way, Pendleton, OR 97801-9417.

What is the taxonomy code for Staci Roberts?

The primary taxonomy code is 163WG0000X – General Practice Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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