RAINIER INTERNAL MEDICINE LLC (NPI# 1356716351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356716351 |
| Entity Type | Organization |
| Organization Name | RAINIER INTERNAL MEDICINE LLC |
| Other Organization Name | NORTHWEST INTEGRATED HEALTH |
| Practice Address |
3800 3rd St Se Puyallup WA 98374-1109 |
| Mailing Address |
P.o. Box 19680 Lakewood WA 98496 |
| Practice Telephone | 2532000415 |
| Mailing Telephone | 2535033666 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | ASIF KHAN (CEO) |
| Authorized Official Telephone | 2536665912 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
CP60560378 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2001900 | 05 |
| Other Name | Type Code |
|---|---|
| Northwest Integrated Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5929 Westgate Blvd, Tacoma, WA 984062567 | 2535030226 | 2536257912 |
| 9720 S Tacoma Way, Lakewood, WA 984994456 | 2535033666 | 2535031633 |
| 3727 S Tacoma Way, Tacoma, WA 984093134 | 2533007474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972735157 | Rainier Internal Medicine LLC | Internal Medicine | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2009-08-20 |
| Street Address |
3800 3RD ST SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437127743 | Rose Marie Sessoms | Family Medicine | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2006-03-10 |
| 1477163012 | Beverly Jean Rollins Chapman | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2020-08-07 |
| 1063054344 | Gentry Turk | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2019-10-08 |
| 1184270035 | Lisa Jenney | Nurse Practitioner | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2019-08-15 |
| 1295210680 | Daniel Wayne Houser | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2018-10-01 |
| 1821578295 | Lauren Yuckert | Licensed Practical Nurse | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2018-08-15 |
| 1184034308 | Dawn Marie Prieto | Counselor | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2014-04-28 |
| 1932524469 | Tanna Taylor | Massage Therapist | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2014-02-20 |
| 1306260179 | Kimberly Dawn Knutson | Massage Therapist | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2014-02-13 |
| 1639593551 | Bryan Lee Box I | Counselor | 3800 3rd St Se, Puyallup, WA 98374 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073984480 | A Change Into Recovery, LLC | Clinic/Center | 719 E Main Ave, Suite C, Puyallup, WA 98372 | 2015-10-12 |
| 1396868493 | Sound Counseling Inc | Clinic/Center | 719 E Main, Suite C, Puyallup, WA 98372-3306 | 2007-04-06 |
| 1700925351 | Multicare Health System | Clinic/Center | 325 E. Pioneer, Puyallup, WA 98372-3265 | 2007-02-06 |
| 1457462251 | Pacific Rim Counseling Service | Clinic/Center | 319 S Meridian, Puyallup, WA 98371-5913 | 2006-08-31 |
| 1376998633 | Royal Life Centers, LLC | Clinic/Center | 201 Valley Ave Nw, Puyallup, WA 98371-3305 | 2016-04-25 |
| 1659560555 | Sea-mar Community Health Center | Clinic/Center | 12812 101st Avenue Ct E, Ct E, 2nd Fl, Puyallup, WA 98373-9101 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
| 1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
| 1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
| 1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
| 1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
| 1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
| 1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.