Provider Demographics
NPI:1174140677
Name:DAVISON, RACHAEL (ARNP)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:DAVISON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 N 35TH ST STE 311
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8873
Mailing Address - Country:US
Mailing Address - Phone:206-501-4342
Mailing Address - Fax:425-777-2103
Practice Address - Street 1:753 N 35TH ST STE 311
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8873
Practice Address - Country:US
Practice Address - Phone:206-501-4342
Practice Address - Fax:425-777-2103
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61083707363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health