Individual ProviderRachelle McdonaldDentistDental ProvidersPractice Address123 N Brower St, Medical Lake, WA 99022-5109(509) 299-5171(509) 289-9837PECOS EnrollmentBased on the most recent information from CMS, provider Rachelle Mcdonald does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679059331Provider TypeIndividualFull NameMcdonald, RachelleCredentialDDSGenderFemaleSole ProprietorNoEnumeration Date7/16/2018Last Updated7/16/2018Contact InformationPractice LocationPractice Address123 N Brower St, Medical Lake, WA 99022-5109Phone(509) 299-5171FaxUnlisted FaxMailing LocationMailing Address7003 S Mudlen St, Cheney, WA 99004-9395Phone(509) 289-9837FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseDE60861772Washington