Provider Demographics
NPI:1275325227
Name:MCCOWIN, RACHEL MARIE (RN BSN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:MCCOWIN
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8308 NE 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-9730
Mailing Address - Country:US
Mailing Address - Phone:619-746-3334
Mailing Address - Fax:
Practice Address - Street 1:9500 NE GLEN HOLLOW DR
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-4618
Practice Address - Country:US
Practice Address - Phone:619-746-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10035196163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty