Provider Demographics
NPI:1568146884
Name:MARGES, RACHAEL (PMHNP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:MARGES
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12204 SE 35TH CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-8600
Mailing Address - Country:US
Mailing Address - Phone:503-867-4157
Mailing Address - Fax:
Practice Address - Street 1:12115 SW 70TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-9648
Practice Address - Country:US
Practice Address - Phone:360-200-5273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61447991363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health