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1336536887 NPI number — RACHAEL GRAY MASSOUD DO

NPI Number: 1336536887
Health Care Provider/Practitioner: RACHAEL GRAY MASSOUD DO

Information about “1336536887” NPI (RACHAEL GRAY MASSOUD DO) exists in 1336536887 in HTML format HTML  |  1336536887 in plain Text format TXT  |  1336536887 in PDF (Portable Document Format) PDF  |  1336536887 in an XML format XML  formats.

NPI Number : 1336536887 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336536887",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MASSOUD",
    "FirstName": "RACHAEL",
    "MiddleName": "GRAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MASSOUD",
    "OtherFirstName": "RACHAEL",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 31001 4114",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91110-4114",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-747-2455",
    "MailingAddressFaxNumber": "509-227-7070",
    "FirstLinePracticeLocationAddress": "16528 E DESMET CT STE B2100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE VALLEY",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99216-3522",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-944-9440",
    "PracticeLocationAddressFaxNumber": "509-227-7070",
    "EnumerationDate": "04/22/2015",
    "LastUpdateDate": "09/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "OP60706030",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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