Basic Information
Provider Information
NPI: 1093340523
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHTON
FirstName: REBEKAH
MiddleName: PAA-WHEA
NamePrefix: DR.
NameSuffix:  
Credential: DNP, CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 209 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054267
CountryCode: US
TelephoneNumber: 2535963300
FaxNumber: 2535963301
Practice Location
Address1: 209 MARTIN LUTHER KING JR WAY
Address2:  
City: TACOMA
State: WA
PostalCode: 984054265
CountryCode: US
TelephoneNumber: 2535963300
FaxNumber: 2535963301
Other Information
ProviderEnumerationDate: 03/04/2020
LastUpdateDate: 12/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN000120777WAN Nursing Service ProvidersRegistered Nurse 
367A00000XAP61168259WAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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