Individual
REBECCA MICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 826-5853
(541) 826-5843
Mailing address
1221 DISK DR, MEDFORD, OR 97501-6638
(541) 773-3863
(541) 414-1123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA222644
OREGON LICENSE
—
Enumeration date
08/01/2023
Last updated
05/08/2026
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