Vanderwall, Rachel Jessica

Vanderwall, Rachel Jessica is an sole proprietor health care provider with primary practice located at 741 Ne 6Th St , Grants Pass OR 97526-1556. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Vanderwall, Rachel Jessica can be contacted via phone (541) 471-3799.

Contact Information

Primary practice address
741 Ne 6Th St Grants Pass OR 97526-1556
Phone: (541) 471-3799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 202008147NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704314623 Michigan

Profile Details

NPI number 1316560865
LBN Legal business name Vanderwall, Rachel Jessica
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2020
Last updated Jan 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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