REBECCA ROSE CNM NPI 1174634794

NPI Information

NPI: 1174634794
Provider Name: REBECCA ROSE, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Organization: LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC

PECOS Registration: Yes

Address:
221 W STEWART AVE STE 101
MEDFORD, OR
ZIP 97501
Phone: (541) 690-3555
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Rebecca Rose, CNM is an obstetrics and gynecology nurse practitioner in Medford, OR with 26 years of experience. Rebecca Rose, CNM NPI is 1174634794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

221 W STEWART AVE STE 101
MEDFORD, OR
ZIP 97501-609
Phone: (541) 690-3555

The NPI 1174634794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	201604566NP	OREGON	Yes
2	367A00000X	Advanced Practice Midwife		209002787	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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