MEDICARE: MRS. REBECCA M MEEK WHNP

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	363LW0102X	Women's Health Nurse Practitioner	201807883NP-PP	OR
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	201394698NP-PP	OR

General Provider Information

NPI Number	:	1558782318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA M MEEK WHNP

Provider Business Mailing Address
First Line	:	603 HEMLOCK ST STE 3B
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-9425
Country	:	US
Telephone Number	:	971-350-7514
Fax Number	:	888-537-1577

Provider Business Practice Location Address
First Line	:	603 HEMLOCK ST STE 3B
Second Line	:
City	:	BROOKINGS
State	:	OR
Zip	:	97415-9425
Country	:	US
Telephone Number	:	541-640-5474
Fax Number	:	888-537-1577

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

Provider Enumeration Date	:	12/21/2013
Last Update Date	:	01/23/2025

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