Provider Demographics
NPI:1275694499
Name:BAY, REBECCA IDA (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:IDA
Last Name:BAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10526 NE 68TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7004
Mailing Address - Country:US
Mailing Address - Phone:425-947-1303
Mailing Address - Fax:425-576-1234
Practice Address - Street 1:10526 NE 68TH ST
Practice Address - Street 2:101
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7004
Practice Address - Country:US
Practice Address - Phone:206-527-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000314082083P0901X, 2084P0800X
AKMED 50212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine