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

Tabitha Waller, FNP

Individual provider Family Nurse Practitioner · NPI 1619410982

Tabitha Waller, FNP is a Family Nurse Practitioner in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1813 W Harvard Ave Ste 241
Roseburg, OR 97471-2752
Phone: (541) 440-6390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20160204NP-PP (OR)

Record details

NPI number1619410982
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016
Mailing address1813 W Harvard Ave, Suite 241, Roseburg, OR 97471-2752

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