Individual
COREY RUBINFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(095) 485-8155
(509) 548-2510
Mailing address
4311 11TH AVENUE NE, SUITE 200, MEDEX NORTHWEST, SEATTLE, WA 98105
(303) 550-1289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1435
ID
363A00000X
Physician Assistant
Primary
PA60923665
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140305
DEPARTMENT OF LABOR & INDUSTRIES
WA
05
—
2124456
—
WA
01
—
414518
DEPARTMENT OF LABOR & INDUSTRIES
WA
Enumeration date
07/22/2015
Last updated
11/07/2022
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