Healthcare Provider Details

I. General information

NPI: 1437185279
Provider Name (Legal Business Name): ROBERT SCOTT RUBENSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 03/07/2023
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 NW MYHRE PL
SILVERDALE WA
98383-8561
US

IV. Provider business mailing address

9621 RIDGETOP BLVD NW
SILVERDALE WA
98383
US

V. Phone/Fax

Practice location:
  • Phone: 360-830-1605
  • Fax: 360-830-1693
Mailing address:
  • Phone: 360-830-1605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberMD00028463
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD00028463
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: