JOEL ROBERTS NP NPI 1255921177

NPI Information

NPI: 1255921177
Provider Name: JOEL ROBERTS, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
105 ARNEY RD STE 130
WOODBURN, OR
ZIP 97071
Phone: (503) 902-3900
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Joel Roberts, NP is a primary care nurse practitioner in Woodburn, OR with 4 years of experience. Joel Roberts, NP NPI is 1255921177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 ARNEY RD STE 130
WOODBURN, OR
ZIP 97071-472
Phone: (503) 902-3900

The NPI 1255921177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2021 and was last updated on 12/14/2023.

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	363LP2300X	Nurse Practitioner	Primary Care	202010988NP	OREGON	Yes
2	363L00000X	Nurse Practitioner		202010988NP-PP	OREGON	No

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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