Provider Demographics
NPI:1134957244
Name:O'RIORDAN, RACHAEL ASHLEIGH (LSWAIC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ASHLEIGH
Last Name:O'RIORDAN
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2608 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2452
Mailing Address - Country:US
Mailing Address - Phone:650-703-6448
Mailing Address - Fax:
Practice Address - Street 1:19801 N CREEK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8240
Practice Address - Country:US
Practice Address - Phone:425-984-2674
Practice Address - Fax:425-747-1069
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC615357381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical