MEDICARE: MS. REBECCA I ORTMAN D.C

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00033633	WA

General Provider Information

NPI Number	:	1932150745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA I ORTMAN D.C

Provider Business Mailing Address
First Line	:	PO BOX 955
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-0955
Country	:	US
Telephone Number	:	360-376-2100
Fax Number	:	360-376-6255

Provider Business Practice Location Address
First Line	:	441 N BEACH RD
Second Line	:
City	:	EASTSOUND
State	:	WA
Zip	:	98245-8927
Country	:	US
Telephone Number	:	360-376-2100
Fax Number	:	360-376-6255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	11/05/2021

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