Provider Demographics
NPI:1760903660
Name:GILLEY, REBEKAH A
Entity Type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:A
Last Name:GILLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1823
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-1823
Mailing Address - Country:US
Mailing Address - Phone:206-225-0344
Mailing Address - Fax:
Practice Address - Street 1:9920 NE 119TH ST APT 109
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4244
Practice Address - Country:US
Practice Address - Phone:206-225-0344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula