Individual
REBECCA M CLEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224-7258
(503) 216-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO26738
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006212
—
OR
Enumeration date
05/16/2007
Last updated
02/19/2021
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