IndividualActive
Marshall Tavares, MSN, RN
NPI 1508596313 · Case Management Registered Nurse · Roseburg, OR
Provider details
- NPI number
- 1508596313
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- MSN, RN
- Sex
- Male
- Sole proprietor
- No
- License
- 749006 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1000
Approximate (ZIP-level) locationGet directions
Mailing address
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.