Individual
REBEKAH SHEA WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 222-6914
(541) 326-0924
Mailing address
PO BOX 72059, SPRINGFIELD, OR 97475-0285
(541) 222-6915
(541) 326-0924
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD220278
OR
207ZP0101X
Anatomic Pathology Physician
Primary
MD220278
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD220278
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2018
Last updated
03/03/2026
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