Provider Demographics
NPI:1184078594
Name:KOPICKI, RACHEL ANN (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:KOPICKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 2ND PL N STE 11-103A
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-4537
Mailing Address - Country:US
Mailing Address - Phone:425-690-3491
Mailing Address - Fax:425-690-9091
Practice Address - Street 1:521 2ND PL N STE 11-103A
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-4537
Practice Address - Country:US
Practice Address - Phone:425-690-3491
Practice Address - Fax:425-690-9091
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD60865935207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program