Healthcare Provider Details

I. General information

NPI: 1790756583
Provider Name (Legal Business Name): REBECCA STORMENT GARCIA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA LYNN GARCIA NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 SW SAM JACKSON PARK ROAD UHS 8EO
PORTLAND OR
97239
US

IV. Provider business mailing address

3181 SW SAM JACKSON PARK RD
PORTLAND OR
97239-3011
US

V. Phone/Fax

Practice location:
  • Phone: 318-281-3432
  • Fax: 318-281-8850
Mailing address:
  • Phone: 503-494-8211
  • Fax: 503-418-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.30006572-NP
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number201050149NP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPO5881
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006572
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: