1700848504 NPI number — RACHEL MARIE TORREZ M.D.

Table of content: BRAXTON KENDALL SPENCER (NPI 1992442636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700848504 NPI number — RACHEL MARIE TORREZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORREZ
Provider First Name:
RACHEL
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700848504
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21701 76TH AVE W STE 303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDMONDS
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98026-7536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-781-6300
Provider Business Mailing Address Fax Number:
206-781-6373

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21701 76TH AVE W STE 303
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDMONDS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98026-7536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-781-6300
Provider Business Practice Location Address Fax Number:
206-781-6373
Provider Enumeration Date:
04/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD00039174 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0201720 . This is a "DEPT OF L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 203206472 . This is a "TAX ID" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 5492TO . This is a "REGENCE BLUE SHIELD" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 8281214 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 203206472 . This is a "MOLINA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 9238749 . This is a "PRIVATE HEALTHCARE SYSTEM" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: MD00039174 . This is a "MD LICENSE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 203206472 . This is a "PREMERA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 203206472 . This is a "GREAT WEST HEALTHCARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 602521507 . This is a "UBI" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7107907 . This is a "DEPT OF SOCIAL HEALTH SVS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7825258 . This is a "AETNA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".