Provider Demographics
NPI:1770122707
Name:GATHONI, RACHAEL NYAWIRA (MEDICAL CASE MANAGER)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:NYAWIRA
Last Name:GATHONI
Suffix:
Gender:F
Credentials:MEDICAL CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4446 S 314TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-3762
Mailing Address - Country:US
Mailing Address - Phone:253-517-8372
Mailing Address - Fax:
Practice Address - Street 1:2505 S 320TH ST STE 235
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5461
Practice Address - Country:US
Practice Address - Phone:253-517-8372
Practice Address - Fax:253-737-5772
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-20
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171R00000XOther Service ProvidersInterpreter
No372500000XNursing Service Related ProvidersChore Provider