Jackie Gooden, LPN is a
Licensed Practical Nurse based in Stanfield, Oregon. Jackie Gooden is licensed to practice in Oregon (license number 201330204LPN) and her current practice location is
215 W Locust St, Stanfield, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 969-2264.
NPI number for Jackie Gooden is 1457201469 and her current mailing address is 890 W Orchard Ave, Hermiston, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457201469.
Provider's Profile
| Full Name | Jackie Gooden |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 215 W Locust St, Stanfield, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457201469
- Provider Enumeration Date: 01/29/2026
- Last Update Date: 01/29/2026
Medical Identifiers
Medical identifiers for Jackie Gooden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457201469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 201330204LPN (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. Jackie Gooden 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 |
Jackie Gooden, LPN 890 W Orchard Ave, Hermiston, OR 97838-1569 Ph: (541) 969-2264 | Jackie Gooden, LPN 215 W Locust St, Stanfield, OR 97875-9704 Ph: (541) 969-2264 |
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