Individual
REBECCA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BOULDER FALLS DR APT E117, LEBANON, OR 97355-2882
(541) 409-5930
Mailing address
215 S 9TH ST, LEBANON, OR 97355-2118
(541) 570-8868
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/29/2019
Last updated
12/05/2019
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