Basic Information
Provider Information
NPI: 1225175359
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHUESSLER
FirstName: RACHAEL
MiddleName: URSULA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11011 MERIDIAN AVE N
Address2: SUITE 200
City: SEATTLE
State: WA
PostalCode: 981338967
CountryCode: US
TelephoneNumber: 2063291760
FaxNumber:  
Practice Location
Address1: 11011 MERIDIAN AVE N
Address2: SUITE 200
City: SEATTLE
State: WA
PostalCode: 981338967
CountryCode: US
TelephoneNumber: 2063291760
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 03/12/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD60252642WAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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