Individual
MRS. REBECCA PHOEBE WIPPERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1111
(503) 304-7603
(503) 304-7677
Mailing address
1949 STEIWER RD SE, JEFFERSON, OR 97352-9802
(503) 589-4357
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T0006986
OR
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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