Individual
REBECCA GYWNNE MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510
(253) 835-5511
Mailing address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510
(253) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60668463
WA
2086S0102X
Surgical Critical Care Physician
MD60668463
WA
2086S0127X
Trauma Surgery Physician
MD60668463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062406
—
WA
Enumeration date
10/18/2009
Last updated
05/02/2025
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