Provider Demographics
NPI:1114737947
Name:DENNING, RACHEL ANTONIA
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANTONIA
Last Name:DENNING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3943 NE 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-6427
Mailing Address - Country:US
Mailing Address - Phone:310-308-0709
Mailing Address - Fax:
Practice Address - Street 1:5046 NE FREMONT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1731
Practice Address - Country:US
Practice Address - Phone:310-308-0709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach