Individual
REBECCA STRIBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
665 WINTER ST SE, SALEM, OR 97301-3934
(503) 561-2448
Mailing address
665 WINTER ST SE, SALEM, OR 97301-3934
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA179896
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500717757
—
OR
Enumeration date
09/05/2016
Last updated
05/14/2023
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