Provider Demographics
NPI:1528189800
Name:OPPITZ, RACHEL ROBERTS (ND)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ROBERTS
Last Name:OPPITZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:MICHELE
Other - Last Name:OPPITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:110 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:PARK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56470-1695
Mailing Address - Country:US
Mailing Address - Phone:218-237-2312
Mailing Address - Fax:218-237-2499
Practice Address - Street 1:110 1ST ST E
Practice Address - Street 2:
Practice Address - City:PARK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56470-1695
Practice Address - Country:US
Practice Address - Phone:218-237-2312
Practice Address - Fax:218-237-2499
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT85202C00000X, 175F00000X
MN1014175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner