Individual
DR. REBECCA ISACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4100
Mailing address
PO BOX 34936, DEPT 3028, SEATTLE, WA 98124-1936
(888) 398-2473
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP00001515
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168566
L & I
WA
05
—
8234163
—
WA
01
—
910861251
PREMERA BLUE CROSS
—
01
—
A014
CHAMPUS
—
01
—
F86186
GROUP HEALTH
—
01
—
SU0807
REGENCY BLUE SHIELD
—
Enumeration date
07/13/2006
Last updated
05/12/2009
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