IndividualActive
Staci Roberts, RN
NPI 1245965623 · General Practice Registered Nurse · Pendleton, OR
Provider details
- NPI number
- 1245965623
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 200842075RN (OR)
Mailing address
Po Box 160
Pendleton, OR 97801-0160
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.