Individual
ALICE AMELIA REAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222
(541) 767-5230
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD214869
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2018
Last updated
08/21/2023
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