REBECCA PODHORA LICENSED LIMITED CORPORATION NPI 1376207977

NPI Information

NPI: 1376207977
Provider Name: REBECCA PODHORA LICENSED LIMITED CORPORATION
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
190 NW 4TH ST
PRINEVILLE, OR
ZIP 97754
Phone: (541) 233-7735
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REBECCA PODHORA LICENSED LIMITED CORPORATION is a psychiatric/mental health nurse practitioner in Prineville, OR. REBECCA PODHORA LICENSED LIMITED CORPORATION NPI is 1376207977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 NW 4TH ST
PRINEVILLE, OR
ZIP 97754-820
Phone: (541) 233-7735
Fax: (541) 566-7633

The provider's authorized official is Rebecca Podhora .
The authorized official title is Owner and has the following contact phone number (541) 233-7735.

The enumeration date for this NPI number is 10/29/2021 and was last updated on 1/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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