Individual provider · Type 1 NPI
Marshall Edward Tavares, MSN, RN
Case Management Registered Nurse · Roseburg, OR
NPI number
1508596313
Active
Practice location
913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 749006 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1508596313
Marshall Edward Tavares, MSN, RN's National Provider Identifier is 1508596313, issued on Jun 14, 2022. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Roseburg, OR. The record was last updated on Jun 14, 2022.