Provider Demographics
NPI:1447737192
Name:PANGILINAN, RACHEL (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:PANGILINAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 N COOK ST APT 523
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-2029
Mailing Address - Country:US
Mailing Address - Phone:630-400-5105
Mailing Address - Fax:
Practice Address - Street 1:2311 NW NORTHRUP ST STE 100
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2912
Practice Address - Country:US
Practice Address - Phone:971-303-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201800542NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily