| Stacy Goodwin, | |
| 
					621 W Madrone St, Roseburg, OR 97470-3090  | |
| (541) 492-0241 | |
| Not Available | 
| Full Name | Stacy Goodwin | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 621 W Madrone St, Roseburg, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922599935 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201709844LPN (Oregon) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Stacy Goodwin, Po Box 1121, Roseburg, OR 97470-0254 Ph: () -  | Stacy Goodwin, 621 W Madrone St, Roseburg, OR 97470-3090 Ph: (541) 492-0241  | 
Lisa Brand,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 548 Se Jackson St, Roseburg, OR 97470 Phone: 541-672-2691  | |
Anne Marie Hix,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 Fax: 541-440-1343  | |
Heather Mcclinton,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691  | |
Michael E Gregg,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-673-3469  | |
Michelle S Beaumont,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000  | |
Angela Renee' Dukes,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1832 Ne Oswego Ave, Roseburg, OR 97470 Phone: 541-733-4862  | |
Shelly Robyn Fultz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1260  |