Individual
RACHEL HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10831 N THORP HWY, THORP, WA 98946-9600
(509) 964-2107
Mailing address
PO BOX 476, CLE ELUM, WA 98922-0476
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00177383
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN00177383
STATE OF WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
04/15/2022
Last updated
04/15/2022
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