Individual
REBECCA CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 492-0241
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201803448RN
OR
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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