Vanderwall, Rachel Jessica
Vanderwall, Rachel Jessica is an sole proprietor health care provider with primary practice located at 741 Ne 6Th St , Grants Pass OR 97526-1556. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vanderwall, Rachel Jessica can be contacted via phone (541) 471-3799.Contact Information
Primary practice address
741 Ne 6Th St
Grants Pass OR 97526-1556
Phone: (541) 471-3799
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 202008147NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704314623 | Michigan |
Profile Details
NPI number | 1316560865 |
---|---|
LBN Legal business name | Vanderwall, Rachel Jessica |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2020 |
Last updated | Jan 24th, 2024 - about last year |
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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