Individual
REBECCA STORMENT GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, UHS 8EO, PORTLAND, OR 97239
(318) 281-3432
(318) 281-8850
Mailing address
3181 SW SAM JACKSON PARK ROAD, UHS 8EO, PORTLAND, OR 97239
(503) 494-8211
(503) 418-6318
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201050149NP
OR
363LF0000X
Family Nurse Practitioner
AP30006572
WA
363LF0000X
Family Nurse Practitioner
APO5881
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9639550
—
WA
01
—
AP30006572
ARNP LICENSE NUMBER
WA
01
—
APO5881
LA NP LICENSE
LA
01
—
RN00134924
RN LICENSE
WA
01
—
RN068123
LA RN LICENSE
LA
Enumeration date
01/30/2006
Last updated
03/07/2023
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