Individual provider · Type 1 NPI

Rebecca L. Prymak, MD STUDENT

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1679467047 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Call (703) 969-2652 Map

Mailing address

1080 NW 123rd Ave Apt 27
Portland, OR 97229-5675

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679467047

Rebecca L. Prymak, MD STUDENT's National Provider Identifier is 1679467047, issued on Jun 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2025.