Individual
REBECCA C EMIREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11102 SUNRISE BLVD E STE 104, PUYALLUP, WA 98374-8846
(253) 848-8797
(253) 845-1114
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.00666RX
OH
363A00000X
Physician Assistant
Primary
PA61354505
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2020
Last updated
08/23/2023
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