Healthcare Provider Details

I. General information

NPI: 1235923590
Provider Name (Legal Business Name): REBECCA J SUTER RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1959 NE PACIFIC ST BOX #356172
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-598-4443
  • Fax:
Mailing address:
  • Phone: 206-598-4443
  • Fax: 206-598-4247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License NumberLR60711717
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: