Rebecca King
Individual provider Active NPI Case Manager/Care Coordinator · Enterprise, OR
NPI 1912367707 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1912367707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 999999 (OR)
- Practice address
- 207 SW 1St St
Enterprise, OR 97828-1203 - Phone
- (541) 426-0801
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999999 | OR | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 999999 | OR | Yes |
Addresses
Primary practice location
207 SW 1St St
Enterprise, OR 97828-1203
Mailing address
207 SW 1St St
Enterprise, OR 97828-1203
Other providers in Enterprise, OR
- Rachael Karlin
- Billie J Kaskasuto
- Jeff Robert Kendall
- Clare Kilker
- Min Ju Kim
- Stephen Paul Kliewer
- Thomas Paul Klimsza
- Krista Nicole Kline
- Emily Knudsen
- Amber M Krepp
All providers in Enterprise, OR · Case Manager/Care Coordinator in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. 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.