Healthcare Provider Details

I. General information

NPI: 1154208734
Provider Name (Legal Business Name): RACHAEL CASTILLO CORDLE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

PO BOX 94645
SEATTLE WA
98124-6945
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-3181
  • Fax: 706-650-1034
Mailing address:
  • Phone: 425-407-1000
  • Fax: 706-650-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP.AP.70132448
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: