Individual
DR. REBECCA L PROVORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
1435 NW 23RD AVE, SUITE 102, PORTLAND, OR 97210-2642
(503) 222-1865
(866) 842-8747
Mailing address
1435 NW 23RD AVE, SUITE 102, PORTLAND, OR 97210-2642
(503) 222-1865
(866) 842-8747
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00861
OR
175F00000X
Naturopath
1375
OR
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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