Provider Demographics
NPI:1568540565
Name:SOBOTA, RACHEL VIRGINIA (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:VIRGINIA
Last Name:SOBOTA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 NE 87TH AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98664-1989
Mailing Address - Country:US
Mailing Address - Phone:360-514-1010
Mailing Address - Fax:360-514-1011
Practice Address - Street 1:505 NE 87TH AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-1989
Practice Address - Country:US
Practice Address - Phone:360-514-1010
Practice Address - Fax:360-514-1011
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025801 RN00122175163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant