RAINIER INTERNAL MEDICINE LLC (NPI# 1972735157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972735157 |
| Entity Type | Organization |
| Organization Name | RAINIER INTERNAL MEDICINE LLC |
| Practice Address |
3800 3rd St Se Puyallup WA 98374-1109 |
| Mailing Address |
Po Box 39680 Lakewood WA 98496-3680 |
| Practice Telephone | 2532000415 |
| Practice Fax Number | 2538454742 |
| Mailing Telephone | 2533047753 |
| Mailing Fax Number | 2533028493 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | DR. ASIF RASHID KHAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2533047753 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
602-946-886 | WA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3727 S Tacoma Way, Tacoma, WA 984093134 | 2533007474 | |
| 5929 Westgate Blvd Ste A, Tacoma, WA 984062567 | 2535030226 | |
| 9720 S Tacoma Way, Lakewood, WA 984994456 | 2535033666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356716351 | Rainier Internal Medicine LLC | Clinic/Center | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2015-12-02 |
| 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 |
| 1356716351 | Rainier Internal Medicine LLC | Clinic/Center | 3800 3rd St Se, Puyallup, WA 98374-1109 | 2015-12-02 |
| 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 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1790163491 | Concordia Star Medical LLC | Clinic/Center | 118 7th Ave Sw, Suite A, Puyallup, WA 98371-6803 | 2015-05-13 |
| 1285801480 | Michael G. Blackburn, M.d., Inc. P.s. | Clinic/Center | 201 15th Ave Sw Ste C, Puyallup, WA 98371-7495 | 2008-05-15 |
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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.