Healthcare Provider Details

I. General information

NPI: 1720996937
Provider Name (Legal Business Name): RACHEL SIERRA COLBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4526 FEDERAL AVE
EVERETT WA
98203-2132
US

IV. Provider business mailing address

1128 AL ANDERSON AVE
LANGLEY WA
98260-8687
US

V. Phone/Fax

Practice location:
  • Phone: 425-349-6200
  • Fax:
Mailing address:
  • Phone: 858-752-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberWDL78N9BB93B
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: