Healthcare Provider Details

I. General information

NPI: 1336429646
Provider Name (Legal Business Name): RACHEL CHRISTINE RICHARDS M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2011
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39308 NE AMBOY RD
YACOLT WA
98675-5114
US

IV. Provider business mailing address

39308 NE AMBOY RD
YACOLT WA
98675-5114
US

V. Phone/Fax

Practice location:
  • Phone: 503-367-5962
  • Fax:
Mailing address:
  • Phone: 503-367-5962
  • Fax: 503-846-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: