Provider Demographics
NPI:1043475254
Name:PARKER, REBECCA MAYA (ND)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MAYA
Last Name:PARKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:KORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1903 D ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3203
Mailing Address - Country:US
Mailing Address - Phone:360-778-3922
Mailing Address - Fax:360-734-0867
Practice Address - Street 1:1903 D ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3203
Practice Address - Country:US
Practice Address - Phone:360-778-3922
Practice Address - Fax:360-734-0867
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001617175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath