Individual provider · Type 1 NPI

Steven Michael Prudencio, FNP

Family Medicine Physician · Roseburg, OR

NPI number 1811366545 Active

Practice location

340 NW Medical Loop
Roseburg, OR 97471-1645

Call (541) 464-5907 Map

Mailing address

PO Box 2129
Odessa, TX 79760-2129

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X201909746NP-PP (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1811366545

Steven Michael Prudencio, FNP's National Provider Identifier is 1811366545, issued on Sep 23, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Roseburg, OR. The record was last updated on Sep 4, 2025.