Healthcare Provider Details

I. General information

NPI: 1770122707
Provider Name (Legal Business Name): RACHAEL NYAWIRA GATHONI MEDICAL CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2019
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 S 320TH ST STE 235
FEDERAL WAY WA
98003-5461
US

IV. Provider business mailing address

4446 S 314TH ST
AUBURN WA
98001-3762
US

V. Phone/Fax

Practice location:
  • Phone: 253-517-8372
  • Fax: 253-737-5772
Mailing address:
  • Phone: 253-517-8372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: