Provider Demographics
NPI:1497356158
Name:TARKOWSKI, RACHEL E (RDN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:TARKOWSKI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6746 24TH AVE NW APT 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5819
Mailing Address - Country:US
Mailing Address - Phone:814-403-3949
Mailing Address - Fax:
Practice Address - Street 1:1000 DEXTER AVE N STE 320
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4878
Practice Address - Country:US
Practice Address - Phone:206-620-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-07
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered