Healthcare Provider Details
I. General information
NPI: 1508403858
Provider Name (Legal Business Name): NEW U WOMEN'S CLINIC & AESTHETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2019
Last Update Date: 08/05/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10973 W 10TH AVE
KENNEWICK WA
99336
US
IV. Provider business mailing address
10973 W 10TH AVE
KENNEWICK WA
99336
US
V. Phone/Fax
- Phone: 509-491-1944
- Fax: 509-735-8474
- Phone: 509-491-1944
- Fax: 509-735-8474
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207SG0203X |
| Taxonomy | Clinical Molecular Genetics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
MAE
GORHAM
Title or Position: OWNER
Credential: ARNP
Phone: 509-540-4308