Rackow, Rachel

Rackow, Rachel is an individual health care provider with primary practice located at 6410 Ne Halsey St Ste 300 , Portland OR 97213. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Rackow, Rachel can be contacted via phone (503) 215-4691.

Contact Information

Primary practice address
6410 Ne Halsey St Ste 300 Portland OR 97213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD17410 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD17410 Oregon

Profile Details

NPI number 1285862565
LBN Legal business name Rackow, Rachel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jun 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285862565 NPPES
Oregon MEDICAID 500709796

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