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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316910078 | NPPES |
Oregon | Other | 200850117NP | LICENSE |
Oregon | MEDICAID | 984353 | LICENSE |
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