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TINA MARIE CONKLIN
NPI 1447823810
Licensed Practical Nurse in Roseburg, OR

Active since July 22, 2021
3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470(541) 673-3469 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tina Marie Conklin NPPES

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

TINA MARIE CONKLIN (NPI 1447823810) is an individual licensed practical nurse in Roseburg, Oregon, licensed in Oregon (200330020LPN) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1447823810
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTINA MARIE CONKLIN
Location Address3099 NE DIAMOND LAKE BLVDRoseburg, OR 97470-3655
Mailing AddressPo Box 1121Roseburg, OR 97470-0254 · (541) 672-2691
Phone(541) 673-3469
Sole ProprietorNo
Enumeration DateJuly 22, 2021
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1447823810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OR · 200330020LPN
Definition
A licensed practical nurse 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 21-QMHA-R-1339 (OR)
3099 NE DIAMOND LAKE BLVD, Roseburg, OR 97470
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH REBECCA JO MOON
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JESSICA ANNE ATTERBURY
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
LEVI MILLS
Peer Specialist
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 672-2691
CAROLYN C STARNES
Registered Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
JESSICA MICHELLE SCHULZE RN
Registered Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
MICHAEL E GREGG
Licensed Practical Nurse
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
TAMMIE L POTTER
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 673-3469
TYLER ROWLAND
Counselor (Addiction (Substance Use Disorder))
3099 NE DIAMOND LAKE BLVD
ROSEBURG, OR 97470
Douglas County (541) 440-3532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Conklin's NPI number?

The NPI number for Tina Conklin is 1447823810. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Tina Conklin located?

Tina Conklin practices at 3099 NE Diamond Lake Blvd, Roseburg, OR 97470. The listed phone number is (541) 673-3469.

What is Tina Conklin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tina Conklin was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.