Provider Demographics
NPI:1689712440
Name:REINHARDT, RACHEL C (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:C
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1025 153RD ST SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4051
Mailing Address - Country:US
Mailing Address - Phone:425-316-0338
Mailing Address - Fax:425-316-1993
Practice Address - Street 1:1025 153RD ST SE
Practice Address - Street 2:SUITE 100
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-4051
Practice Address - Country:US
Practice Address - Phone:425-316-0338
Practice Address - Fax:425-316-1993
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00044591207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8440620Medicaid
WA0197247OtherL & I
WAG8854631Medicare PIN
WAI35531Medicare UPIN