Provider Demographics
NPI:1093358590
Name:STRONG, REBEKAH L (DNP, ARNP, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:L
Last Name:STRONG
Suffix:
Gender:F
Credentials:DNP, ARNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 OLYMPIA AVE NE UNIT 35
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4121
Mailing Address - Country:US
Mailing Address - Phone:253-656-1289
Mailing Address - Fax:833-989-2215
Practice Address - Street 1:401 OLYMPIA AVE NE UNIT 35
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4121
Practice Address - Country:US
Practice Address - Phone:253-656-1289
Practice Address - Fax:833-989-2215
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-28
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60976795363LP0808X
WARN00165825163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse