Provider Demographics
NPI:1164752192
Name:JOYCE, RACHEL (RACHEL JOYCE LMT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:RACHEL JOYCE LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 SW 110TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005
Mailing Address - Country:US
Mailing Address - Phone:503-267-5073
Mailing Address - Fax:503-350-0301
Practice Address - Street 1:4060 SW 110TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3017
Practice Address - Country:US
Practice Address - Phone:503-267-5073
Practice Address - Fax:503-350-0301
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16997174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist