Provider Demographics
NPI:1811014087
Name:WILHELM, REBECCA ANN (ND)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:WILHELM
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W WASHINGTON AVE
Mailing Address - Street 2:SUITE #328
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273
Mailing Address - Country:US
Mailing Address - Phone:360-333-4476
Mailing Address - Fax:360-395-6200
Practice Address - Street 1:321 W WASHINGTON AVE
Practice Address - Street 2:SUITE #328
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273
Practice Address - Country:US
Practice Address - Phone:360-333-4476
Practice Address - Fax:360-395-6200
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC2550171100000X
WANT1335175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist