Provider Demographics
NPI:1437780012
Name:PITTENGER, RACHEL A (CPM)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:PITTENGER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 TALBOT RD S STE 402
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6238
Mailing Address - Country:US
Mailing Address - Phone:425-207-8769
Mailing Address - Fax:
Practice Address - Street 1:4300 TALBOT RD S STE 402
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6238
Practice Address - Country:US
Practice Address - Phone:425-207-8769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife