Healthcare Provider Details

I. General information

NPI: 1134957244
Provider Name (Legal Business Name): RACHAEL ASHLEIGH O'RIORDAN LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19801 N CREEK PKWY STE 200
BOTHELL WA
98011-8240
US

IV. Provider business mailing address

2608 S WASHINGTON ST
SEATTLE WA
98144-2452
US

V. Phone/Fax

Practice location:
  • Phone: 425-984-2674
  • Fax: 425-747-1069
Mailing address:
  • Phone: 650-703-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61535738
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: