Provider Demographics
NPI:1295549269
Name:BEACH, RACHEL PERRELLI
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:PERRELLI
Last Name:BEACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 W 2ND PL
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-1302
Mailing Address - Country:US
Mailing Address - Phone:716-998-9031
Mailing Address - Fax:
Practice Address - Street 1:418 W 2ND PL
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-1302
Practice Address - Country:US
Practice Address - Phone:716-998-9031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201404572RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse