Provider Demographics
NPI:1619116621
Name:REHBERG, CINDY RENEE (LMP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:RENEE
Last Name:REHBERG
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:994 REHBERG RD
Mailing Address - Street 2:
Mailing Address - City:GREENBANK
Mailing Address - State:WA
Mailing Address - Zip Code:98253-9708
Mailing Address - Country:US
Mailing Address - Phone:360-632-2712
Mailing Address - Fax:425-609-8442
Practice Address - Street 1:840 SE BAYSHORE DR STE 202
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-4062
Practice Address - Country:US
Practice Address - Phone:360-632-2712
Practice Address - Fax:425-609-8442
Is Sole Proprietor?:No
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021336174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist