Healthcare Provider Details

I. General information

NPI: 1992454854
Provider Name (Legal Business Name): RACHEL A. SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

3801 STONE WAY N APT 160
SEATTLE WA
98103-8069
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2000
  • Fax:
Mailing address:
  • Phone: 206-987-2624
  • Fax: 206-985-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License NumberMD.MD.70102540
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: