Provider Demographics
NPI:1770072118
Name:KOH, RACHEL TONG-SIEW (RPH)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:TONG-SIEW
Last Name:KOH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:TONG-SIEW
Other - Middle Name:
Other - Last Name:KOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:10604 NE 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2842
Mailing Address - Country:US
Mailing Address - Phone:206-919-6210
Mailing Address - Fax:
Practice Address - Street 1:720 8TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3032
Practice Address - Country:US
Practice Address - Phone:206-462-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34082183500000X
WAPH00041610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist