Individual
REBECCA A. RISSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2801 N GANTENBEIN AVE, NICU, PORTLAND, OR 97227-1623
(503) 413-1864
(503) 413-2589
Mailing address
2801 N GANTENBEIN AVE, NICU, PORTLAND, OR 97227-1623
(503) 413-1864
(503) 413-2589
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
200650047NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218660
—
OR
05
—
9658006
—
WA
Enumeration date
07/25/2007
Last updated
05/27/2009
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