Individual
REBECCA FELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 PORTLAND RD, STE 300, NEWBERG, OR 97132
(503) 538-1341
(503) 538-1343
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4628
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2021
Last updated
06/15/2022
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