Provider Demographics
NPI:1861841355
Name:MURPHY, RACHEL (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6455 SW NYBERG LN APT A207
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8715
Mailing Address - Country:US
Mailing Address - Phone:706-889-3252
Mailing Address - Fax:
Practice Address - Street 1:1522 SW SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-2626
Practice Address - Country:US
Practice Address - Phone:503-473-8039
Practice Address - Fax:503-473-8059
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3660ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist