Search › Oregon › 363LF0000X
Mark Pequignot, DNP FNP
NPI 1770272148 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1700 Nw Garden Valley Blvd Ste 201
Roseburg, OR 97471 - Phone
- (541) 236-9246
- Fax
- (541) 464-0789
- Organisation at this address
- Nisha Jackson Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon