Provider Demographics
NPI:1619204989
Name:NEET, RACHEL VIOLET (LMT)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:VIOLET
Last Name:NEET
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:VIOLET
Other - Last Name:NEVES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:7321 N CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-3744
Mailing Address - Country:US
Mailing Address - Phone:503-330-2869
Mailing Address - Fax:
Practice Address - Street 1:7321 N CHARLESTON AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97203-3744
Practice Address - Country:US
Practice Address - Phone:503-330-2869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR831173C00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist