Organization
REBECCA T MORTON NONWEILER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA T MORTON MD (OWNER)
(541) 647-7243
Entity
Organization
Contact information
Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Mailing address
3151 NW CRAFTSMAN DR, BEND, OR 97701-5517
(541) 647-7243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD19774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207506
—
OR
Enumeration date
01/19/2015
Last updated
01/19/2015
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