Provider Demographics
NPI:1639471964
Name:STERRY, RACHEL B (ND)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:B
Last Name:STERRY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 SE WOODSTOCK BLVD.
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206
Mailing Address - Country:US
Mailing Address - Phone:503-771-0615
Mailing Address - Fax:503-771-1660
Practice Address - Street 1:4940 SE WOODSTOCK BLVD.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206
Practice Address - Country:US
Practice Address - Phone:503-771-0615
Practice Address - Fax:503-771-1660
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1752175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath