Rebecca Matteson, PHARMD
Individual provider Active NPI Pharmacist · Happy Valley, OR
NPI 1134434871 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1134434871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0012347 (OR)
- Practice address
- 11995 SE Sunnyside Rd
Happy Valley, OR 97015-9312 - Phone
- (503) 653-1526
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0012347 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0012347 | OR | Yes |
Addresses
Primary practice location
11995 SE Sunnyside Rd
Happy Valley, OR 97015-9312
Mailing address
1215 NW 23Rd Ave
Portland, OR 97210-2905
Phone (503) 937-4984
Other practice location 1
1377 NE Stephens St
Roseburg, OR 97470-2159
Phone (541) 672-1509
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.