Provider Demographics
NPI:1720384910
Name:FORSBERG, RACHELLE MARIE (ND)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:MARIE
Last Name:FORSBERG
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 1:12300 31ST AVE NE
Mailing Address - Street 2:APT 411
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5555
Mailing Address - Country:US
Mailing Address - Phone:206-518-8938
Mailing Address - Fax:206-525-3273
Practice Address - Street 1:2949 FEDERAL BLVD STE 212
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3741
Practice Address - Country:US
Practice Address - Phone:720-613-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-04
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60196398175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath