Brisco, Rebecca Elizabeth

Brisco, Rebecca Elizabeth is an individual health care provider with primary practice located at 940 E 5Th St , Coquille OR 97423-1699. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brisco, Rebecca Elizabeth can be contacted via phone (541) 396-3111.

Contact Information

Primary practice address
940 E 5Th St Coquille OR 97423-1699
Phone: (541) 396-3111
Fax: (541) 396-8135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA195440 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60739138 Washington

Profile Details

NPI number 1780780619
LBN Legal business name Brisco, Rebecca Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780780619 NPPES
Washington MEDICAID 2078139

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