Healthcare Provider Details

I. General information

NPI: 1275325227
Provider Name (Legal Business Name): RACHEL MARIE MCCOWIN RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 NE GLEN HOLLOW DR
NEWBERG OR
97132-4618
US

IV. Provider business mailing address

8308 NE 25TH AVE
VANCOUVER WA
98665-9730
US

V. Phone/Fax

Practice location:
  • Phone: 619-746-3334
  • Fax:
Mailing address:
  • Phone: 619-746-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number10035196
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: