Provider Demographics
NPI:1770037921
Name:BARTSCH, REBECCA (MSM, LM, IBCLC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BARTSCH
Suffix:
Gender:F
Credentials:MSM, LM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 NORTHWOODS LOOP RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-8586
Mailing Address - Country:US
Mailing Address - Phone:360-941-9579
Mailing Address - Fax:
Practice Address - Street 1:417 PEASE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3113
Practice Address - Country:US
Practice Address - Phone:360-559-2504
Practice Address - Fax:360-335-6881
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60606320176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife