Provider Demographics
NPI:1801939707
Name:RAINY, REBECCA LEIGH (MA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LEIGH
Last Name:RAINY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEIGH
Other - Last Name:SWARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4600 NW OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-1775
Mailing Address - Country:US
Mailing Address - Phone:503-872-0483
Mailing Address - Fax:503-872-0481
Practice Address - Street 1:9268 SE CLINTON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1456
Practice Address - Country:US
Practice Address - Phone:503-872-0483
Practice Address - Fax:503-872-0481
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health