MEDICARE: OLIVIA MARIE RECABO

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	207V00000X	Obstetrics & Gynecology Physician	MD230055	OR
2	207V00000X	Obstetrics & Gynecology Physician	MD.MD.70114601	WA

General Provider Information

NPI Number	:	1780326140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA MARIE RECABO

Provider Business Mailing Address
First Line	:	2875 NE STUCKI AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5806
Country	:	US
Telephone Number	:	914-960-0227
Fax Number	:

Provider Business Practice Location Address
First Line	:	2875 NE STUCKI AVE
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-5806
Country	:	US
Telephone Number	:	503-813-2000
Fax Number	:

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

Provider Enumeration Date	:	04/07/2022
Last Update Date	:	06/05/2026

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Directions to “ OLIVIA MARIE RECABO ” Practice Location

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