Basic Information
| Provider Information | |||||||||
| NPI: | 1093358590 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STRONG | ||||||||
| FirstName: | REBEKAH | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP, ARNP, PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1455 NW LEARY WAY | ||||||||
| Address2: | STE 400 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981075138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2536561289 | ||||||||
| FaxNumber: | 8339892215 | ||||||||
| Practice Location | |||||||||
| Address1: | 1455 NW LEARY WAY | ||||||||
| Address2: | STE 400 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981075138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256407009 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/28/2019 | ||||||||
| LastUpdateDate: | 07/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN00165825 | WA | N | Nursing Service Providers | Registered Nurse | 363LP0808X | AP60976795 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.