Rebecca D. Church, PA
Physician Assistant · Burley, ID
UnclaimedPANPI 1982033395
- Primary taxonomy
- 363A00000X
- Enumerated
- 2013-11-06
- Practice location
- Burley, ID
- Last NPPES update
- 2021-11-18
State licenses
- ID · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2027
- WA · Physician assistant · Osteopathic Physician Assistant LicenseInactive
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.