Provider Demographics
NPI:1902304413
Name:VEITH-ROSSETTI, RACHAEL (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:VEITH-ROSSETTI
Suffix:
Gender:
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 NW 153RD AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5559
Mailing Address - Country:US
Mailing Address - Phone:971-344-3381
Mailing Address - Fax:
Practice Address - Street 1:2401 NW 153RD AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-5559
Practice Address - Country:US
Practice Address - Phone:971-344-3381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR86054471133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty