Individual
REBECCA L. NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123
(503) 681-1111
Mailing address
347 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 681-1111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
992754
CO
1041C0700X
Clinical Social Worker
Primary
L8058
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017282
KAISER COMMERCIAL NUMBER
—
05
—
77031326
—
CO
Enumeration date
11/26/2007
Last updated
12/06/2021
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