Provider Demographics
NPI:1598885378
Name:ROBISON, RACHEL KATHLEEN (ARNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATHLEEN
Last Name:ROBISON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:KATHLEEN
Other - Last Name:GASMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:9801 FRONTIER AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-5200
Mailing Address - Country:US
Mailing Address - Phone:425-831-2300
Mailing Address - Fax:425-831-2361
Practice Address - Street 1:35020 SE KINSEY ST
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-8992
Practice Address - Country:US
Practice Address - Phone:425-396-7682
Practice Address - Fax:425-396-7694
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
G8864750Medicare PIN
Q25780Medicare UPIN