Roberta S Packard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

087006757 Issued in OR

Practice address

412 NE Ford St
McMinnville, OR 97128-4608

Phone

(503) 434-7525

Fax

(503) 472-9731

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1790937837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NE FORD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284608",
            "telephone_number": "503-434-7525",
            "fax_number": "503-472-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NE FORD ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284608",
            "telephone_number": "503-434-7525",
            "fax_number": "503-472-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "ROBERTA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "087006757",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "087006757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Launa Marie Ottele
• Pacific Kidney & Hypertension, LLC (Oregon Kidney & Hypertension Clinic)
• Pacific Northwest Psychology Associates
• Pacific Northwest Renal Services, L.L.C. (PNRS-McMinnville Kidney Center)
• Pacifica SL McMinnville LLC (Pacifica Senior Living McMinnville)
• Larry Allen Paddock Jr., CSFA
• Richard D Page, CHIROPRACTOR
• Janice M Paine
• Sarah Elizabeth Pancoast
• Teresa Jo Panter

• Registered Nurse in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.