| Doctor Name: | RACHAEL POORE |
| NPI Number: | 1043574460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 79 |
| Business Practice Address: | 136 W Edmonton Dr Bismarck, ND - 585030224 |
| Business Phone Number: | 5158641708 |
| Business Fax Number: | 5158641708 |
| Mailing Address: | Po Box 1952, BISMARCK |
| State: | ND |
| Postal Code: | 585021952 |
| Phone Number: | 5158641708 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 79 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |