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NPI Code Detail

MEDICARE: RABECCA MARIE STEELE LPN

MEDICARE: RABECCA MARIE STEELE LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse201030044LPNOR

General Provider Information

NPI Number : 1316286719
Entity Type Code : Individual
Provider Name (Legal Business Name) : RABECCA MARIE STEELE LPN
Provider Business Mailing Address
First Line : 77 SW BRANTLEY STREET
Second Line :
City : WINSTON
State : OR
Zip : 97496-4526
Country : US
Telephone Number : 541-680-0179
Fax Number :
Provider Business Practice Location Address
First Line : 77 SW BRANTLEY DR
Second Line :
City : WINSTON
State : OR
Zip : 97496-4526
Country : US
Telephone Number : 541-680-0179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2013
Last Update Date : 02/05/2013

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Directions to “ RABECCA MARIE STEELE LPN” Practice Location

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