Provider Demographics
NPI:1558782318
Name:MEEK, REBECCA M (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:M
Last Name:MEEK
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 HEMLOCK ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-9425
Mailing Address - Country:US
Mailing Address - Phone:541-640-5474
Mailing Address - Fax:888-537-1577
Practice Address - Street 1:603 HEMLOCK ST STE 3B
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-9425
Practice Address - Country:US
Practice Address - Phone:541-640-5474
Practice Address - Fax:888-537-1577
Is Sole Proprietor?:No
Enumeration Date:2013-12-21
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201394698NP-PP363LX0001X
OR201807883NP-PP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR173309Medicare PIN