Provider Demographics
NPI:1295776813
Name:MACDONALD, ROBYN A (OT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:A
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 132ND ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7203
Mailing Address - Country:US
Mailing Address - Phone:425-330-0633
Mailing Address - Fax:425-338-9637
Practice Address - Street 1:7728 204TH ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-2500
Practice Address - Country:US
Practice Address - Phone:360-403-8250
Practice Address - Fax:360-403-0917
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA911745305-98223-A006OtherTRICARE
WA6781MAOtherREGENCE BLUESHIELD
WA6781MAOtherTRICARE/TRIWEST
WA7683956Medicaid
WA8347866Medicaid
WA5029MAOtherREGENCE/BLUE SHIELD
WA7865129OtherAETNA
WA8944443OtherCRIME VICTIMS
WA3354MCOtherREGENCE/BLUE SHIELD
WA8928859OtherL&I CRIME
WA9157MAOtherREGENCE RIDER #
WA0190919OtherLABOR & INDUSTRY
WA4422MAOtherREGENCE/BLUE SHIELD
WA7712MAOtherREGENCE/BLUE SHIELD
WA8928859OtherCRIME VICTIMS
WA6781MAOtherREGENCE BLUESHIELD
WA8928859OtherCRIME VICTIMS
WAG8808921Medicare PIN