Provider Demographics
NPI:1285628925
Name:HARRINGTON, RACHEL L (PA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:L
Other - Last Name:DEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2686 PATTERSON RD
Mailing Address - Street 2:PO BOX 62
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506
Mailing Address - Country:US
Mailing Address - Phone:970-298-6005
Mailing Address - Fax:970-298-7138
Practice Address - Street 1:1100 PATTERSON RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-8219
Practice Address - Country:US
Practice Address - Phone:970-298-6005
Practice Address - Fax:970-298-7138
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1634363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84922842Medicaid
Q38250Medicare UPIN
COC801237Medicare PIN