Active NPI
Rebecca Matteson, PHARMD
- Pharmacist
- Happy Valley, OR
National Provider Identifier
1134434871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0012347
- Practice address
- 11995 SE Sunnyside Rd
Happy Valley, OR 97015-9312 - Phone
- (503) 653-1526
- NPI assigned
- Aug 18, 2010
- Last updated
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0012347 | OR | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- 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 |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1134434871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 NW 23RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102905",
"telephone_number": "503-937-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11995 SE SUNNYSIDE RD",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970159312",
"telephone_number": "503-653-1526"
}
],
"practiceLocations": [
{
"address_1": "1377 NE Stephens St",
"address_purpose": "LOCATION",
"city": "Roseburg",
"state": "OR",
"postal_code": "974702159",
"country_code": "US",
"telephone_number": "541-672-1509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTESON",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0012347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.