Healthcare Provider Details

I. General information

NPI: 1720384910
Provider Name (Legal Business Name): RACHELLE MARIE FORSBERG N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2949 FEDERAL BLVD STE 212
DENVER CO
80211-3741
US

IV. Provider business mailing address

12300 31ST AVE NE APT 411
SEATTLE WA
98125-5555
US

V. Phone/Fax

Practice location:
  • Phone: 720-613-8501
  • Fax:
Mailing address:
  • Phone: 206-518-8938
  • Fax: 206-525-3273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT60196398
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: