Provider Demographics
NPI:1063244242
Name:KATZ, RACHAEL JOHANNAH (PCD, CLE)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:JOHANNAH
Last Name:KATZ
Suffix:
Gender:F
Credentials:PCD, CLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 NE 196TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-2864
Mailing Address - Country:US
Mailing Address - Phone:425-275-2559
Mailing Address - Fax:
Practice Address - Street 1:4040 NE 196TH ST
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-2864
Practice Address - Country:US
Practice Address - Phone:425-275-2559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula