NPI 1760064109 · live from the CMS NPI Registry
Reena Bastin
Psychiatry & Neurology, Neurology in Federal Way, WA. National Provider Identifier 1760064109, active.
NPI record
| NPI | 1760064109 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 301 S 320th St, Federal Way, WA 98003 |
| Practice phone | 253-874-7000 |
| Enumerated | April 26, 2021 |
| Last updated | October 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD.MD.70113851 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.