Individual
MS. REBECCA ANN PODHORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 233-7735
(541) 566-7633
Mailing address
8081 NW SAGEBRUSH LN, PRINEVILLE, OR 97754-8306
(541) 233-7735
(541) 566-7633
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
20075001
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750010NP PMHNP-PP
OR
Other
Enumeration date
04/23/2007
Last updated
09/15/2023
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