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Individual

MS. REBECCA SUZANNE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, MN, CNM, FNP.

Contact information

Practice address
796 OAK ST, ASHLAND, OR 97520-1263
(503) 819-3712
(541) 708-0230
Mailing address
796 OAK ST, ASHLAND, OR 97520-1263
(503) 819-3712
(541) 708-0230

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200150132NP
OR
363LF0000X
Family Nurse Practitioner
AP30004962
WA
367A00000X
Advanced Practice Midwife
1876
CA
367A00000X
Advanced Practice Midwife
91007142
OR
367A00000X
Advanced Practice Midwife
AP 30004962
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013904000
BCBS
OR
05
273945
OR
Enumeration date
01/26/2006
Last updated
10/29/2009
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