Healthcare Provider Details

I. General information

NPI: 1639830722
Provider Name (Legal Business Name): RACHEL MATHIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3402 173RD PL NE SUITE 201
ARLINGTON WA
98223
US

IV. Provider business mailing address

3402 173RD PL NE SUITE 201
ARLINGTON WA
98223
US

V. Phone/Fax

Practice location:
  • Phone: 360-215-2020
  • Fax:
Mailing address:
  • Phone: 360-215-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.70060315
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: