Healthcare Provider Details

I. General information

NPI: 1265102396
Provider Name (Legal Business Name): RACHEL LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 10TH AVE E
SEATTLE WA
98102-4605
US

IV. Provider business mailing address

737 10TH AVE E
SEATTLE WA
98102-4605
US

V. Phone/Fax

Practice location:
  • Phone: 720-614-3550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW70035208
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: