Healthcare Provider Details

I. General information

NPI: 1215653365
Provider Name (Legal Business Name): RACHAEL KAUFFUNG DNP, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 S UNION AVE STE 300
TACOMA WA
98405-1387
US

IV. Provider business mailing address

401 N YAKIMA AVE APT 7
TACOMA WA
98403-2287
US

V. Phone/Fax

Practice location:
  • Phone: 253-680-6200
  • Fax:
Mailing address:
  • Phone: 513-238-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN61347402
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number70033208-NP
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: