Individual
MS. RACHAEL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 NE 160TH AVE #11, PORTLAND, OR 97230
(503) 741-5322
Mailing address
423 NE 160TH AVE APT 11, PORTLAND, OR 97230-9002
(503) 741-5322
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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