Healthcare Provider Details

I. General information

NPI: 1407578735
Provider Name (Legal Business Name): RACHEL NICHOL DUNCAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 SW SCALEHOUSE CT STE 130
BEND OR
97702-3241
US

IV. Provider business mailing address

21273 SE GOLDEN MARKET CT
BEND OR
97702-3652
US

V. Phone/Fax

Practice location:
  • Phone: 541-306-4446
  • Fax:
Mailing address:
  • Phone: 951-425-9458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: