# REBECCA CHANGIZIAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003246174
- **Authorized official:** REBECCA CHANGIZIAN (SURGICAL ASSISTANT-CERTIFIED)
- **Authorized official phone:** (503) 593-7314

## Contact information

- **Practice address:** 2929 NE 25TH AVE, PORTLAND, OR 97212-3460
- **Practice address phone:** (503) 593-7314
- **Mailing address:** 2929 NE 25TH AVE, PORTLAND, OR 97212-3460
- **Mailing address phone:** (503) 593-7314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 11/26/2013