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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACY GOODWIN

Active

Licensed Practical Nurse · ROSEBURG, OR

Registration Details

NPI Number
1922599935
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2018 (7.9145926493218 yrs)
Last Updated
May 24, 2018
License
201709844LPN (OR)

Practice Information

Address
621 W MADRONE ST
ROSEBURG, OR, 974703090
Browse OR providers · Browse ZIP 97470
Phone
5414920241
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ROSEBURG, OR

Name Credential NPI
SHELLY ROBYN FULTZ LPN 1194966762
MRS. MANDY IRENE HOLFORD LPN 1407173297
ANGELA RENEE' DUKES 1174904007
JONATHAN SCHMIDT RN 1932551256
BRENDA ANDERSON LPN 1669924403
KARISA VALANCE 1851832893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.