Healthcare Provider Details

I. General information

NPI: 1770266645
Provider Name (Legal Business Name): REBEKAH ROSEMARY POSADAS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 10/29/2026
Certification Date: 10/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 NE HOOD AVE
GRESHAM OR
97030-7328
US

IV. Provider business mailing address

PO BOX 1245
SANDY OR
97055-1245
US

V. Phone/Fax

Practice location:
  • Phone: 971-404-4668
  • Fax: 971-273-2708
Mailing address:
  • Phone: 971-404-4668
  • Fax: 971-273-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC10695
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: