Basic Information
Provider Information
NPI: 1659532885
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BENDER IGNACIO
FirstName: RACHEL
MiddleName: ANN
NamePrefix: DR.
NameSuffix:  
Credential: MD, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 50095
Address2: UNIVERSITY OF WASHINGTON
City: SEATTLE
State: WA
PostalCode: 981455095
CountryCode: US
TelephoneNumber: 2065205700
FaxNumber:  
Practice Location
Address1: 325 9TH AVE
Address2: HARBORVIEW MEDICAL CENTER- MADISON CLINIC
City: SEATTLE
State: WA
PostalCode: 981042420
CountryCode: US
TelephoneNumber: 2067445100
FaxNumber: 2067445109
Other Information
ProviderEnumerationDate: 06/20/2008
LastUpdateDate: 07/30/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD60280229WAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

ID Information
IDTypeStateIssuerDescription
165953288505WA MEDICAID


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