Provider Demographics
NPI:1073305249
Name:BEKKE, MERCEDES KRYSTAL (DOULA CERTIFICATION)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:KRYSTAL
Last Name:BEKKE
Suffix:
Gender:F
Credentials:DOULA CERTIFICATION
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:MERCEDES
Other - Last Name:RIOJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N WASHINGTON AVE # 135
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99156-9070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:338 WESTERN LARCH RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:WA
Practice Address - Zip Code:99156-8822
Practice Address - Country:US
Practice Address - Phone:509-589-4007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty