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Individual

REBECKA MULLENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 571-3653
Mailing address
7808 SE ASPEN SUMMIT DR APT 16, PORTLAND, OR 97266-6165
(612) 998-1763

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202005596RN
OR
163WX0800X
Orthopedic Registered Nurse
RN61684446
WA

Other

Enumeration date
08/06/2025
Last updated
08/06/2025
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