RAINIER ONCOLOGY PROFESSIONAL SERVICES (NPI# 1164459442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164459442 |
| Entity Type | Organization |
| Organization Name | RAINIER ONCOLOGY PROFESSIONAL SERVICES |
| Practice Address |
400 15th Ave Se Suite D Puyallup WA 98372-3750 |
| Practice Telephone | 2536974831 |
| Practice Fax Number | 2536974818 |
| Mailing Telephone | 2536974831 |
| Mailing Fax Number | 2536974818 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SIBEL BLAU (PRESIDENT) |
| Authorized Official Telephone | 2536974831 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I GROUP NUMBER | 62944 | 01 |
| WA | 7048192 | 05 |
| Street Address |
400 15TH AVE SE SUITE D |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144285651 | Sally Ann Drescher | Social Worker | 400 15th Ave Se, Ste D, Puyallup, WA 98372 | 2006-04-18 |
| 1093286536 | Michelle Dawn Fears | Obstetrics & Gynecology | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2018-12-10 |
| 1750828166 | Alyssa Chen | Nurse Practitioner | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2017-01-23 |
| 1639569189 | Elizabeth Terttu Alonzo | Nurse Practitioner | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2015-02-04 |
| 1154723807 | Lisa M Austin | Nurse Practitioner | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2014-09-24 |
| 1790077253 | Christopher Aaron Breed | Obstetrics & Gynecology | 400 15th Ave Se, Puyallup, WA 98372 | 2011-05-03 |
| 1932245644 | Michael Anthony Harris | Internal Medicine | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2007-01-29 |
| 1710030333 | Trevor W. Dennie | Internal Medicine | 400 15th Ave Se, Puyallup, WA 98372-3750 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1568903664 | Lolita Arevalo | Specialist | 2535 S Meridian Apt W104, Puyallup, WA 98373-2735 | 2017-03-09 |
| 1578918207 | Audra Sisak | Specialist | 7711 156th Street Ct E, Puyallup, WA 98375-7653 | 2016-05-02 |
| 1104286921 | Karen Escudero | Specialist | 7503 144th St E, Puyallup, WA 98375-8269 | 2016-03-07 |
| 1346650967 | Bethany Bevier | Specialist | 502 14th St Sw, Puyallup, WA 98371-5758 | 2014-05-05 |
| 1598106114 | Susan Carol Richards | Specialist | 2717 E Main, Puyallup, WA 98372-3165 | 2013-07-11 |
| 1487931945 | Dawn K. Hammer | Specialist | 105 W Main Ste A, Puyallup, WA 98371-5388 | 2011-11-12 |
| 1134412596 | Jackie Marie Bennett | Specialist | 10508 123rd Street Ct E, Puyallup, WA 98374-2626 | 2011-05-18 |
| 1023336070 | Whitney Lin Smith | Specialist | 8112 112th Street Ct E, Puyallup, WA 98373-7815 | 2010-05-13 |
| 1194057604 | Ruth Keheley Burnett | Specialist | 818 39th Ave Sw Ste A, Puyallup, WA 98373-3308 | 2010-02-08 |
| Find all providers in PUYALLUP | ||||
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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.