MEDICARE: MS. REBECCA FRANSHAM LCSW

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
1	1041C0700X	Clinical Social Worker	L3981	OR

General Provider Information

NPI Number	:	1285900985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA FRANSHAM LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1102
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365
Country	:	US
Telephone Number	:	541-563-8049
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 SE DOUGLAS ST
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4499
Country	:	US
Telephone Number	:	541-265-2244
Fax Number	:	541-574-1838

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	02/15/2019

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