MR. FREDRICK RYAN WILKINS (NPI# 1023266012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023266012 |
| Entity Type | Individual |
| Full Name | MR. FREDRICK RYAN WILKINS |
| Credential | RN |
| Practice Address |
913 Garden Valley Blvd Roseburg OR 97471-6523 |
| Mailing Address |
207 Camino Nina Ave Roseburg OR 97471-9694 |
| Practice Telephone | 5414401000 |
| Practice Fax Number | 5416773189 |
| Mailing Telephone | 5414401000 |
| Mailing Fax Number | 5416773189 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
079043837RN | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON STATE BOARD OF NURSING LICENSE, RN | 079043837RN | 01 |
| Street Address |
913 GARDEN VALLEY BLVD |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256431 | Linda Witbeck | Counselor | 913 Garden Valley Blvd, Bldg 2, Ward 2, Sartp, Roseburg, OR 97470 | 2006-11-01 |
| 1326602244 | Steven Curtis Huft | Technician/Technologist | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2019-04-25 |
| 1477917672 | Jean Richardson | Social Worker | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2016-04-13 |
| 1396174652 | Mary Ann Curtiss | Nurse Practitioner | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2013-11-07 |
| 1538454293 | Karla Choy | Pharmacist | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2011-06-10 |
| 1245567403 | Diana Milantia Roy | Pharmacist | 913 Garden Valley Blvd, Roseburg, OR 97471-6523 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619224052 | Nichole Lynn Simpson | Registered Nurse | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2012-08-03 |
| 1205057908 | Sharyse L Williams | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97470-2348 | 2007-05-01 |
| 1366468506 | Gaylene Lyda | Registered Nurse | 2801 Nw Mercy Dr, Suite 330, Roseburg, OR 97471-2348 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985463 | Emily Rowan | Registered Nurse | 834 Se 42nd Ave, Portland, OR 97215-1607 | 2020-08-31 |
| 1265945604 | Salwa Munir | Registered Nurse | 17135 Sw Baseline Rd, Beaverton, OR 97006-4201 | 2017-11-08 |
| 1467822668 | Elizabeth Marie Kilty | Registered Nurse | 52195 E Terra Fern Dr, Sandy, OR 97055-7402 | 2015-09-30 |
| 1154707503 | Joel Lee, Rn B.s.n | Registered Nurse | 1210 S College St, Apt. 228, Newberg, OR 97132-3372 | 2015-08-08 |
| 1053652453 | Heather Marie Ficken | Registered Nurse | 84771 Dorran Rd, Helix, OR 97835-4001 | 2013-03-09 |
| 1548558745 | Daria Yolanda Ferrara | Registered Nurse | 65877 Cori Way, Bend, OR 97701-9074 | 2011-07-21 |
| 1922392638 | Anna Christina Mcallister | Registered Nurse | 547 Bond St, Astoria, OR 97103-4230 | 2011-05-31 |
| 1952629313 | Robin Sue Blankenbaker | Registered Nurse | 16789 Sw Daffodil St, Sherwood, OR 97140-7716 | 2010-05-11 |
| 1881926137 | Linda Jane Conn | Registered Nurse | 16460 Nw Graf St, Portland, OR 97229-7951 | 2010-02-10 |
| 1720310170 | Lorri M Petterson | Registered Nurse | 863 Ne Hidden Valley Dr Unit 1, Bend, OR 97701-6575 | 2010-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.