Nicole Teigen, is a
Licensed Practical Nurse based in Roseburg, Oregon. Nicole Teigen is licensed to practice in Oregon (license number 202111476LPN) and her current practice location is
3099 Ne Diamond Lake Blvd, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 673-3469.
NPI number for Nicole Teigen is 1700702248 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700702248.
Healthcare Provider's Profile
| Full Name | Nicole Teigen |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 3099 Ne Diamond Lake Blvd, Roseburg, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700702248
- Provider Enumeration Date: 06/29/2026
- Last Update Date: 06/29/2026
Medical Identifiers
Medical identifiers for Nicole Teigen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700702248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 164W00000X | Licensed Practical Nurse | 202111476LPN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Teigen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Teigen, Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 440-3532 | Nicole Teigen, 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 Ph: (541) 673-3469 |
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