Provider Demographics
NPI:1386117919
Name:POFF, RACHEL MAE (RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAE
Last Name:POFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 TUDOR WAY SE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97322-5663
Mailing Address - Country:US
Mailing Address - Phone:541-928-3626
Mailing Address - Fax:
Practice Address - Street 1:2510 TUDOR WAY SE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-5663
Practice Address - Country:US
Practice Address - Phone:541-928-3626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR099007427RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health