Provider Demographics
NPI:1356609218
Name:SCHLEIF, REBECCA ANN (PA-C)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:SCHLEIF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:500 LILLY RD NE STE 120
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5195
Mailing Address - Country:US
Mailing Address - Phone:253-477-5130
Mailing Address - Fax:253-477-5140
Practice Address - Street 1:500 LILLY RD NE STE 120
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5195
Practice Address - Country:US
Practice Address - Phone:253-477-5130
Practice Address - Fax:253-477-5140
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
WA60770442363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant