| Doctor Name: | MR. ROYCE WILLIAM EMBANKS |
| NPI Number: | 1477663649 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 09000500RN |
| Business Practice Address: | 733 Se Turner St Madras, OR - 977411562 |
| Business Phone Number: | 5414755557 |
| Business Fax Number: | |
| Mailing Address: | 733 Se Turner St, MADRAS |
| State: | OR |
| Postal Code: | 977411562 |
| Phone Number: | 5414755557 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | 09000500RN |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |