Individual
REBECCA C REVEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 N 19TH ST, SPRINGFIELD, OR 97477-2526
(541) 746-5437
(541) 746-3753
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 687-4900
(541) 463-2820
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1458
TN
363AM0700X
Medical Physician Assistant
Primary
PA182393
OR
Other
Enumeration date
12/22/2006
Last updated
07/09/2020
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