Individual
MRS. REBECCA JEAN SPIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3894 SE CASTLEWOOD DRIVE, PORT ORCHARD, WA 98366-2229
(360) 271-9503
(360) 769-5953
Mailing address
1950 POTTERY AVENUE, SUITE 18, PORT ORCHARD, WA 98366
(360) 271-9503
(360) 769-5953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0273585
L& I
WA
Enumeration date
05/30/2008
Last updated
03/07/2011
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