Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | DO154860 | OR |
NPI | 1144428079 |
---|---|
Provider Name | Dr. Rebeca M Monreal |
First Address | Salem, OR 97302-6558 |
Second Address | Salem, OR 97302-6558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 20/10/2020 |