MS. SHERRY RUTH GOEDEN FNP NPI 1023090339

NPI Information

NPI: 1023090339
Provider Name: MS. SHERRY RUTH GOEDEN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
121 SE VIEWMONT AVE
CORVALLIS, OR
ZIP 97333
Phone: (541) 766-3546
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MS. Sherry Ruth Goeden, FNP is a family nurse practitioner in Corvallis, OR. MS. Sherry Ruth Goeden, FNP NPI is 1023090339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 SE VIEWMONT AVE
CORVALLIS, OR
ZIP 97333-968
Phone: (541) 766-3546
Fax: (541) 766-6143

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family		OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1016620000PHLCC	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	S56725	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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