Individual provider · Type 1 NPI

Rebecca Lynn Ricketson

Acute Care Nurse Practitioner · Portland, OR

NPI number 1043099187 Active

Practice location

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076

Mailing address

14374 SW Rancher Ln
Beaverton, OR 97008-6724

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XARNP.AP.70139102-NP (WA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1043099187

Rebecca Lynn Ricketson's National Provider Identifier is 1043099187, issued on Sep 27, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jul 29, 2026.