MEDICARE: RACHEL DONAHUE BEDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD00042592	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	219560	OTHER		INTERNAL ID-MOTOR VEHICLE ID

General Provider Information

NPI Number	:	1073699872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL DONAHUE BEDA

Provider Business Mailing Address
First Line	:	1219 23RD AVE E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-3536
Country	:	US
Telephone Number	:	206-949-5044
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 19TH AVE E STE 201
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4000
Country	:	US
Telephone Number	:	206-466-5937
Fax Number	:	206-535-8844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	06/29/2023

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Directions to “ RACHEL DONAHUE BEDA ” Practice Location

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