Organization
REBECCA PODHORA LICENSED LIMITED CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PODHORA PMHNP (OWNER)
(541) 233-7735
Entity
Organization
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 233-7735
(541) 566-7633
Mailing address
8081 NW SAGEBRUSH LN, PRINEVILLE, OR 97754-8306
(541) 233-7735
(541) 566-7633
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
01/10/2023
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