NPI 1154668309

Rebecca Lynn Bliven Dunham, LMP

Practitioner Specialist Lake Stevens, WA

Practice location

Address: 9633 Market Pl #103, Lake Stevens, WA 98258-7944
Phone: (425) 335-0300

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA 60245105 (WA)

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Registry record

NPI: 1154668309
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2013
Record last updated: 8 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.