Provider Demographics
NPI:1316286719
Name:STEELE, RABECCA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:RABECCA
Middle Name:MARIE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SW BRANTLEY STREET
Mailing Address - Street 2:
Mailing Address - City:WINSTON
Mailing Address - State:OR
Mailing Address - Zip Code:97496-4526
Mailing Address - Country:US
Mailing Address - Phone:541-680-0179
Mailing Address - Fax:
Practice Address - Street 1:77 SW BRANTLEY DR
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:OR
Practice Address - Zip Code:97496-4526
Practice Address - Country:US
Practice Address - Phone:541-680-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201030044LPN164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse