Healthcare Provider Details

I. General information

NPI: 1912829730
Provider Name (Legal Business Name): REBEKAH J CALVERT MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6508 NW FIRWOOD DR
VANCOUVER WA
98665-8516
US

IV. Provider business mailing address

6508 NW FIRWOOD DR
VANCOUVER WA
98665-8516
US

V. Phone/Fax

Practice location:
  • Phone: 503-709-4304
  • Fax:
Mailing address:
  • Phone: 503-709-4304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60390064
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: