ADETUTU JOSEPH
NPI 1437854635
Student in an Organized Health Care Education/Training Program in Roseburg, OR

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 05, 2023PECOS Enrolled

150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Adetutu Joseph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADETUTU JOSEPH (NPI 1437854635) is an individual student in an organized health care education/training program in Roseburg, Oregon and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437854635

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameADETUTU JOSEPH

Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042

Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042

Phone(541) 672-9596

Sole ProprietorNo

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1437854635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

150 NE KENNETH FORD DR, Roseburg, OR 97470

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adetutu Joseph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.