Most Relevant Information
Provider Data
| NPI Number: | 1003300948 |
| Provider Name: | REBECCA MARIE CARR |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 201700624LPN |
Most Important Dates
| Enumeration Date: | 06/14/2018 |
| Last Updated: | 06/14/2018 |
Provider Practice Location
1160 LIBERTY ST SE
SALEM
OR
973024143
Practice Location Phone/Fax
| Phone: | 5033919762 |
| Fax: | 5033152019 |
Provider Mailing Location
1160 LIBERTY ST SE
SALEM
OR
973024143
Provider Mailing Phone/Fax
| Phone: | 5033919762 |
| Fax: | 5033152019 |