Individual
MRS. REBECCA LYNN BOLLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558
Mailing address
560 CATALINA DR, ASHLAND, OR 97520-1605
(541) 201-4930
(541) 201-4931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850001NP
OR
363LF0000X
Family Nurse Practitioner
327
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
13995
STATE LICENSE
AK
01
—
20850001NP
OREGON LICENSE
OR
01
—
327
STATE LICENSE
AK
Enumeration date
10/05/2007
Last updated
02/12/2016
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