Provider Demographics
NPI:1538645106
Name:RAK FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:RAK FAMILY MEDICINE PLLC
Other - Org Name:ONE CONNECTION HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LILY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKELY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:530-524-4543
Mailing Address - Street 1:5470 SHILSHOLE AVE NW STE 500
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4040
Mailing Address - Country:US
Mailing Address - Phone:206-279-6390
Mailing Address - Fax:
Practice Address - Street 1:5470 SHILSHOLE AVE NW STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4040
Practice Address - Country:US
Practice Address - Phone:206-279-6390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-17
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty