Peil, Rebecca Wharton

Peil, Rebecca Wharton is an individual health care provider with primary practice located at 3101 Sw Sam Jackson Park Rd , Portland OR 97239-3009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Peil, Rebecca Wharton can be contacted via phone (503) 221-3424.

Contact Information

Primary practice address
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009
Phone: (503) 221-3424
Fax: (503) 221-3490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2076 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200850117NP FNP-PP Oregon

Profile Details

NPI number 1316910078
LBN Legal business name Peil, Rebecca Wharton
Credentials RN, MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 16th, 2012 - about 13 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 1316910078 NPPES
Oregon Other 200850117NP LICENSE
Oregon MEDICAID 984353 LICENSE

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