Individual provider · Type 1 NPI

Nicole Teigen

Licensed Practical Nurse · Roseburg, OR

NPI number 1700702248 Active

Practice location

3099 NE Diamond Lake Blvd
Roseburg, OR 97470-3655

Fax (541) 440-3554

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Licensed Practical Nurse Primary 164W00000X202111476LPN (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 1700702248

Nicole Teigen's National Provider Identifier is 1700702248, issued on Jun 29, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseburg, OR. The record was last updated on Jun 29, 2026.