Individual
REBECCA C SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(253) 395-2000
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98057-4934
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8362691
—
WA
Enumeration date
07/30/2006
Last updated
09/18/2012
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