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Contact Information

REBECKA MULLENBACH
9900 SE SUNNYSIDE RD
CLACKAMAS, OR97015-9777
 Phone: 503-571-3653
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for REBECKA MULLENBACH · (Female)

NPI # 1760367098
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2025
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 202005596RN
  • WA License # RN61684446
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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