Basic Information
| Provider Information | |||||||||
| NPI: | 1295776813 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MACDONALD | ||||||||
| FirstName: | ROBYN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1519 132ND ST SE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | EVERETT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982087203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253300633 | ||||||||
| FaxNumber: | 4253389637 | ||||||||
| Practice Location | |||||||||
| Address1: | 7728 204TH ST NE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | ARLINGTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982232500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604038250 | ||||||||
| FaxNumber: | 3604030917 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 10/10/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
ID Information
| ID | Type | State | Issuer | Description | 911745305-98223-A006 | 01 | WA | TRICARE | OTHER | 6781MA | 01 | WA | REGENCE BLUESHIELD | OTHER | 6781MA | 01 | WA | TRICARE/TRIWEST | OTHER | 7683956 | 05 | WA | MEDICAID | 8347866 | 05 | WA | MEDICAID | 5029MA | 01 | WA | REGENCE/BLUE SHIELD | OTHER | 7865129 | 01 | WA | AETNA | OTHER | 8944443 | 01 | WA | CRIME VICTIMS | OTHER | 3354MC | 01 | WA | REGENCE/BLUE SHIELD | OTHER | 8928859 | 01 | WA | L&I CRIME | OTHER | 9157MA | 01 | WA | REGENCE RIDER # | OTHER | 0190919 | 01 | WA | LABOR & INDUSTRY | OTHER | 4422MA | 01 | WA | REGENCE/BLUE SHIELD | OTHER | 7712MA | 01 | WA | REGENCE/BLUE SHIELD | OTHER | 8928859 | 01 | WA | CRIME VICTIMS | OTHER |