MEDICARE: MRS. RACHEL HURD

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	103TS0200X	School Psychologist	545234	OR

General Provider Information

NPI Number	:	1659209906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL HURD

Provider Business Mailing Address
First Line	:	1212 NE FOGARTY ST
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4978
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 NE FOGARTY ST
Second Line	:
City	:	NEWPORT
State	:	OR
Zip	:	97365-4978
Country	:	US
Telephone Number	:	541-265-9211
Fax Number	:

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ MRS. RACHEL HURD ” Practice Location

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