MEDICARE: DR. REBECCA ALLISON PREECE DO

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	207Q00000X	Family Medicine Physician	DO28339	OR

General Provider Information

NPI Number	:	1396262440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA ALLISON PREECE DO

Provider Business Mailing Address
First Line	:	38743 MORNINGSTAR RD NE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-9563
Country	:	US
Telephone Number	:	541-926-1149
Fax Number	:

Provider Business Practice Location Address
First Line	:	679 MAIN ST
Second Line	:
City	:	SWEET HOME
State	:	OR
Zip	:	97386-3305
Country	:	US
Telephone Number	:	541-451-6250
Fax Number	:

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

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	08/29/2017

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