Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rachelle Vicencio, MD

Individual provider Pediatrics Physician · NPI 1629260534

Dr. Rachelle Vicencio, MD is a Pediatrics Physician in Tacoma, Washington. Licensed in Washington and Wyoming. Registered with an NPI since 2007.

Licensed in
WA, WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1608 S J St Fl 2
Tacoma, WA 98405-4930
Phone: (253) 274-7503
Fax: (253) 274-7993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD60580586 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence 8456A (WY)

Record details

NPI number1629260534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2007
Last updated in NPPESNovember 25, 2015

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