Provider Demographics
NPI:1184781825
Name:SWIFF, REBECCA M (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:SWIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 NW 2ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-6487
Mailing Address - Country:US
Mailing Address - Phone:541-730-4400
Mailing Address - Fax:
Practice Address - Street 1:525 NW 2ND ST STE 1
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-6487
Practice Address - Country:US
Practice Address - Phone:541-730-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD19576174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORF95330Medicare UPIN