| Rainier Integrated Primary Care Pllc | |
|
402 S 333rd St Ste 105 Federal Way WA 98003-7099 | |
| (971) 251-5788 | |
| Not Available |
| Full Name | Rainier Integrated Primary Care Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 402 S 333rd St Ste 105, Federal Way, Washington |
| Authorized Official Name and Position | Nabatanzi Agnes Bewayo (GOVERNOR/MEMBER) |
| Authorized Official Contact | 9712515788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Integrated Primary Care Pllc Po Box 58608 Renton WA 98058-1608 Ph: (971) 251-5788 | Rainier Integrated Primary Care Pllc 402 S 333rd St Ste 105 Federal Way WA 98003-7099 Ph: (971) 251-5788 |
| NPI Number | 1417552944 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417552944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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