Provider Demographics
NPI:1508150533
Name:STRICKLAND, RACHEL MARIE
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARIE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:MARIE
Other - Last Name:WILLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14414 2ND AVE E
Mailing Address - Street 2:APT 2
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-1364
Mailing Address - Country:US
Mailing Address - Phone:253-226-6905
Mailing Address - Fax:
Practice Address - Street 1:14414 2ND AVE E
Practice Address - Street 2:APT 2
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-1364
Practice Address - Country:US
Practice Address - Phone:253-226-6905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC10097741374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide