Rachel April Renee Rustad | Vancouver, WA • PECOS Search

Rachel April Renee Rustad

Social Worker

Behavioral Health & Social Service Providers

9300 NE Oak View Dr, Vancouver, WA 98662-6157

(360) 567-2211 (503) 481-8325

PECOS Enrollment

Based on the most recent information from CMS, provider Rachel April Renee Rustad does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1306312749
Provider Type
Individual
Full Name
Rustad, Rachel April Renee
Credential
BS, MS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/23/2018
Last Updated
10/23/2018

Contact Information

Practice Location

9300 NE Oak View Dr, Vancouver, WA 98662-6157

Unlisted Fax

Mailing Location

7900 NE Loowit Loop Apt 61, Vancouver, WA 98662-6447

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer