Provider Demographics
NPI:1497115125
Name:HIATT, RACHEL LOUISE (QMHA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LOUISE
Last Name:HIATT
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 WESTGATE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-9613
Mailing Address - Country:US
Mailing Address - Phone:541-240-8030
Mailing Address - Fax:541-429-8777
Practice Address - Street 1:2575 WESTGATE
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-9613
Practice Address - Country:US
Practice Address - Phone:541-240-8030
Practice Address - Fax:541-429-8777
Is Sole Proprietor?:No
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor