Individual provider · Type 1 NPI

Michael E. Gregg

Licensed Practical Nurse · Roseburg, OR

NPI number 1164021283 Active

Practice location

3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655

Mailing address

621 W Madrone St
Roseburg, OR 97470-3090

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X201508156LPN (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1164021283

Michael E. Gregg's National Provider Identifier is 1164021283, issued on Oct 20, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseburg, OR. The record was last updated on Oct 20, 2020.