Individual
REBECCA COLEEN WHITESELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1507
Mailing address
311 S L ST, TACOMA, WA 98405-3720
(253) 403-1507
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60490776
WA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD60490776
WA
208000000X
Pediatrics Physician
MD60490776
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2008
Last updated
12/22/2014
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