Healthcare Provider Details

I. General information

NPI: 1073038188
Provider Name (Legal Business Name): RACHEL FELDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL BECKER

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 SE CHKALOV DR STE 49
VANCOUVER WA
98683-5277
US

IV. Provider business mailing address

2131 SE HARNEY ST
PORTLAND OR
97202-7410
US

V. Phone/Fax

Practice location:
  • Phone: 949-547-8333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: