Provider Demographics
NPI:1831423342
Name:PANDZIK, RACHAEL H (DC)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:H
Last Name:PANDZIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:HANNAH
Other - Last Name:JACOBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3644 SW TROY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1684
Mailing Address - Country:US
Mailing Address - Phone:503-293-3001
Mailing Address - Fax:503-977-0502
Practice Address - Street 1:3644 SW TROY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1684
Practice Address - Country:US
Practice Address - Phone:503-293-3001
Practice Address - Fax:503-977-0502
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8154111N00000X
OR3967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor