Healthcare Provider Details

I. General information

NPI: 1568693026
Provider Name (Legal Business Name): RACHEL SUZANNE STROTHER L.M.T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2009
Last Update Date: 08/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15041 WILCO HWY NE
WOODBURN OR
97071-8949
US

IV. Provider business mailing address

15041 WILCO HWY NE
WOODBURN OR
97071-8949
US

V. Phone/Fax

Practice location:
  • Phone: 503-319-3871
  • Fax:
Mailing address:
  • Phone: 503-319-3871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number13971
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: