| Doctor Name: | MRS. RACHEL CRITES |
| NPI Number: | 1104285311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.D.O. |
| License Number: | DO60136514 |
| Business Practice Address: | 317 N Pearl St Ellensburg, WA - 989263363 |
| Business Phone Number: | 5098999333 |
| Business Fax Number: | 5092105575 |
| Mailing Address: | 317 N Pearl St, ELLENSBURG |
| State: | WA |
| Postal Code: | 989263363 |
| Phone Number: | 5098999333 |
| Fax Number: | 5092105575 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | DO60136514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |