Provider Demographics
NPI:1013010693
Name:FRANK, RACHEL MAUREEN (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MAUREEN
Last Name:FRANK
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:MAUREEN
Other - Last Name:MCNASSAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:1915 S GINGER STREET
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113
Mailing Address - Country:US
Mailing Address - Phone:503-317-0625
Mailing Address - Fax:503-368-6712
Practice Address - Street 1:37315 3RD STREET
Practice Address - Street 2:
Practice Address - City:NEHALEM
Practice Address - State:OR
Practice Address - Zip Code:97131-9634
Practice Address - Country:US
Practice Address - Phone:503-368-6711
Practice Address - Fax:503-368-6712
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1071694225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR133726Medicare ID - Type Unspecified