Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD39861 | TN |
Y | 2080P0204X | Pediatric Emergency Doctor | MD00049308 | WA |
NPI | 1306933437 |
---|---|
Provider Name | Dr. Rebecca Partridge |
First Address | Issaquah, WA 98027-2925 |
Second Address | Issaquah, WA 98027-2925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 08/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0300234 | LABOR AND INDUSTRY (01) | WA |
1306933437 | (05) | WA |
I45964 | (02) | |
P01241116 | RAILROAD MEDICARE (01) | WA |