Individual
REBECCA ANN MICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
22244 SW NOTTINGHAM CT, SHERWOOD, OR 97140-9816
(971) 940-2182
Mailing address
22244 SW NOTTINGHAM CT, SHERWOOD, OR 97140-9816
(971) 940-2182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
202009740NP-PP
OR
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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