Individual
REBECCA TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
900 SUNSET DR, 900 SUNSET DRIVE, LA GRANDE, OR 97850-1387
(541) 963-8421
(541) 963-1837
Mailing address
900 SUNSET DR, PO BOX 3290, LA GRANDE, OR 97850-1387
(541) 963-8421
(541) 963-1837
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
079011108RN
OR
282N00000X
General Acute Care Hospital
079011108RN
OR
Other
Enumeration date
03/17/2017
Last updated
01/14/2021
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