Individual
REBECCA TIEWUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-7722
Mailing address
2687 NW GARRYANNA DR, CORVALLIS, OR 97330-3690
(541) 758-7722
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
10028633
OR
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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