Crockett, Rebecca Gene

Crockett, Rebecca Gene is an individual health care provider with primary practice located at 304 Ne Hood Ave , Gresham OR 97030-7450. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Crockett, Rebecca Gene can be contacted via phone (503) 666-1333.

Contact Information

Primary practice address
304 Ne Hood Ave Gresham OR 97030-7450
Phone: (503) 666-1333
Fax: (503) 666-2444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 61747 Oregon

Profile Details

NPI number 1649784018
LBN Legal business name Crockett, Rebecca Gene
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 8 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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