MS. RACHAEL LEEANN WILSON (NPI# 1083192488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083192488 |
| Entity Type | Individual |
| Full Name | MS. RACHAEL LEEANN WILSON |
| Credential | PA-C |
| Practice Address |
2043 College Way Forest Grove OR 97116-1756 |
| Mailing Address |
245 St Helens Ave # 4406 Tacoma WA 98402-2594 |
| Practice Telephone | 5033526151 |
| Mailing Telephone | 9372867946 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE LISENCE | PA60890324 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 M.l.k. Way, Tacoma, WA 98405 | 2534061000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| 1386070803 | Rachael Elizabeth Wilson | Counselor | 1137 North Main Street, Suite 2, Ofallon, MO 63366 | 2013-09-16 |
| 1780283465 | Rachael Wilson | Case Manager/Care Coordinator | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2020-10-22 |
| 1669022315 | Rachael Wilson | Behavioral Analyst | 6505 218th St Sw Ste 12, Mountlake Terrace, WA 98043-2135 | 2019-09-15 |
| 1003460379 | Rachael Wilson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-07-25 |
| 1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
| 1609382845 | Rachael Wilson | Occupational Therapy Assistant | 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2017-12-26 |
| 1538608062 | Rachael Wilson | Case Manager/Care Coordinator | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2017-02-16 |
| 1164698940 | Rachael Dorothy Wilson | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2008-05-01 |
| Street Address |
2043 COLLEGE WAY |
| City | FOREST GROVE |
| State | OR |
| Zip Code | 97116-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492595 | Kenneth Warren Eakland | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2005-10-25 |
| 1972102796 | Jonathan T Bloemers | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-10-22 |
| 1457979080 | Maud Darger | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2020-07-09 |
| 1881226249 | Caitlin Odonnell | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2020-02-04 |
| 1386292852 | Pacific University | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2019-08-28 |
| 1447813563 | Mari Jalene Fujimoto | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-04-15 |
| 1043776024 | Abigail Carpenter | Specialist/Technologist | 2043 College Way, Forest Grove, OR 97116-1756 | 2019-02-14 |
| 1194294108 | Julia Le Lieu | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-11-19 |
| 1154807295 | Sarah Rothley Lucas | Optometrist | 2043 College Way, Forest Grove, OR 97116-1756 | 2018-07-12 |
| 1649764879 | Emily Cheng | Optometrist | 2043 College Way, Forest Grove, OR 97116-1797 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220988 | Jenny Park | Social Worker | 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 | 2019-11-22 |
| 1447742077 | Kimberly K Sabin | Doula | 1239 Goff Rd, Forest Grove, OR 97116 | 2018-05-30 |
| 1891205266 | Sonam Narayan | Optometrist | 2221 Pacific Avenue, Forest Grove, OR 97116 | 2017-10-11 |
| 1013260181 | Sharon Louise Benjamin | Nurse Practitioner | 2724 Harvest Ct, Forest Grove, OR 97116 | 2012-10-25 |
| 1336445535 | Shane Michael Peterson | Physical Therapist | 3300 19th Avenue, Forest Grove, OR 97116 | 2011-02-04 |
| 1023324415 | Kara Marie Cooper | Registered Nurse | 2221 Oak St, Forest Grove, OR 97116 | 2010-08-24 |
| 1811229792 | Rachel Lucinda Erin Dilly | Speech-Language Pathologist | 3300 19th Ave., Forest Grove, OR 97116 | 2010-02-03 |
| 1720286339 | Thuymai Anna Fee | Physical Therapist | Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 | 2007-07-05 |
| 1629102454 | Lois Elizabeth Yevdalcia Dimick | Massage Therapist | 2004 Main St, Suite 204, Forest Grove, OR 97116 | 2007-03-15 |
| 1023159936 | Ninette Kay Foster | Contractor | 2329 Pacific Ave., Forest Grove, OR 97116 | 2007-02-12 |
| Find all providers in zip 97116 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
| 1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
| Find all providers with the same taxonomy | ||||
| City | FOREST GROVE |
| Zip Code | 97116 |
Please comment or provide details below to improve the information on MS. RACHAEL LEEANN WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.