Provider Demographics
NPI:1396262440
Name:PREECE, REBECCA ALLISON (DO)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ALLISON
Last Name:PREECE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38743 MORNINGSTAR RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-9563
Mailing Address - Country:US
Mailing Address - Phone:541-926-1149
Mailing Address - Fax:
Practice Address - Street 1:679 MAIN ST
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-3305
Practice Address - Country:US
Practice Address - Phone:541-451-6250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO28339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine