Provider Demographics
NPI:1083497390
Name:PLANT, REBECCA SIMONE
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SIMONE
Last Name:PLANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 HAYES ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1891
Mailing Address - Country:US
Mailing Address - Phone:541-521-1325
Mailing Address - Fax:
Practice Address - Street 1:2295 COBURG RD STE 200
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-7489
Practice Address - Country:US
Practice Address - Phone:541-600-3200
Practice Address - Fax:541-600-2324
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional