Individual
BECCA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 761-5272
Mailing address
P.O. BOX 1108, 82-18, SALEM, OR 97308
(971) 239-8734
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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