Basic Information
Provider Information
NPI: 1316362692
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJOR
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6615 SE 52ND AVE APT 205
Address2:  
City: PORTLAND
State: OR
PostalCode: 972067694
CountryCode: US
TelephoneNumber: 5038854665
FaxNumber:  
Practice Location
Address1: 4585 SW 185TH AVE
Address2:  
City: ALOHA
State: OR
PostalCode: 970781557
CountryCode: US
TelephoneNumber: 5035919280
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/24/2014
LastUpdateDate: 09/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
372600000X  N Nursing Service Related ProvidersAdult Companion 
171M00000X  Y Other Service ProvidersCase Manager/Care Coordinator 

No ID Information.


Home