Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexus Pettibone

Individual provider Case Manager/Care Coordinator · NPI 1316745359

Alexus Pettibone is a Case Manager/Care Coordinator in Roseburg, Oregon. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

548 SE Jackson St
Roseburg, OR 97470-4983
Phone: (541) 440-3532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1316745359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025
Mailing addressPo Box 1121, Roseburg, OR 97470-0254

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