Individual
RACHAEL WAAS SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6908 SE WOODWARD ST, PORTLAND, OR 97206-1973
(503) 705-7358
Mailing address
6908 SE WOODWARD ST, PORTLAND, OR 97206-1973
(503) 705-7358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61488661
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10050909
OR
Other
Enumeration date
10/25/2024
Last updated
10/26/2025
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