Individual
REBECCA LYNN RICKETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7725
Mailing address
14374 SW RANCHER LN, BEAVERTON, OR 97008-6724
(662) 403-8950
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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