MS. REBECCA ANN PODHORA


Address: 7429 Sw 59th Ave, Portland, OR 97219-1201
Phone: 5032443449

MS. REBECCA ANN PODHORA (NPI# 1871711143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871711143
Entity Type Individual
Full Name MS. REBECCA ANN PODHORA
Credential PMHNP
Practice Address 7429 Sw 59th Ave
Portland
OR 97219-1201
Practice Telephone 5032443449
Mailing Telephone 5032443449
Enumeration Date 2007-04-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7429 SW 59TH AVE
City PORTLAND
State OR
Zip Code 97219-1201

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
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Competitor

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City PORTLAND
Zip Code 97219

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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