Healthcare Provider Details

I. General information

NPI: 1184078594
Provider Name (Legal Business Name): RACHEL ANN KOPICKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CALIFORNIA AVE SW
SEATTLE WA
98116-3307
US

IV. Provider business mailing address

3400 CALIFORNIA AVE SW
SEATTLE WA
98116-3307
US

V. Phone/Fax

Practice location:
  • Phone: 206-933-1041
  • Fax: 206-933-1047
Mailing address:
  • Phone: 206-933-1041
  • Fax: 206-933-1047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60865935
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: