MEDICARE: RBS EVOLUTION OF ALASKA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	363LF0000X	Family Nurse Practitioner
3	225700000X	Massage Therapist
4	175F00000X	Naturopath
5	2085R0001X	Radiation Oncology Physician

General Provider Information

NPI Number	:	1316280209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RBS EVOLUTION OF ALASKA LLC

Provider Business Mailing Address
First Line	:	PO BOX 3991
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-3991
Country	:	US
Telephone Number	:	615-746-4711
Fax Number	:	615-296-0952

Provider Business Practice Location Address
First Line	:	188 W NORTHERN LIGHTS BLVD # 100
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-3902
Country	:	US
Telephone Number	:	907-562-2002
Fax Number	:	907-562-2002

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	STUART HESS
Credential	:
Telephone Number	:	814-808-8060

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	05/19/2026

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