Provider Demographics
NPI:1316599319
Name:FALLIHEE, REBECCA ROSE (MS, CNS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSE
Last Name:FALLIHEE
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:R
Other - Last Name:FALLIHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2090 FOUR OAKS GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1013
Mailing Address - Country:US
Mailing Address - Phone:541-571-6097
Mailing Address - Fax:
Practice Address - Street 1:2090 FOUR OAKS GRANGE RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1013
Practice Address - Country:US
Practice Address - Phone:541-571-6097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education