Healthcare Provider Details

I. General information

NPI: 1407395486
Provider Name (Legal Business Name): RACHEL YUEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 06/02/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 MDG / JB ELMENDORF-RICHARDSON USAF 5955 ZEAMER AVE
ANCHORAGE AK
99506
US

IV. Provider business mailing address

673 MDG / JB ELMENDORF-RICHARDSON USAF 5955 ZEAMER AVE
ANCHORAGE AK
99506
US

V. Phone/Fax

Practice location:
  • Phone: 907-580-1243
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35.136894
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number35.136894
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: