Rainier Pediatrics, Inc
Pediatric Adolescent Medicine
Rainier Pediatrics, Inc is a Puyallup, Washington based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
12904 94th Ave E, Puyallup, Washington - 98373-5538. They can be contacted on phone at
253-841-3999 and fax number 253-841-7311.
NPI number (Unique professional ID) for Rainier Pediatrics, Inc is
1720498280 which was assigned by NPPES on 05 May, 2014 and it was last updated on 05 May, 2014.
Rainier Pediatrics, Inc license number is
MD00014726 for Pediatrics Adolescent Medicine (2080A0000X) in Washington.
Rainier Pediatrics, Inc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Rainier Pediatrics, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Rainier Pediatrics, Inc |
|---|
Business Address:
Rainier Pediatrics, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12904 94th Ave E
Puyallup, WA, 98373-5538
United States |
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| Phone Number : | 253-841-3999 |
|---|
| Fax Number : | 253-841-7311 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720498280 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 05 May, 2014 |
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| Last Updated On : | 05 May, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Michaell Pearson |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT/OWNER |
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| Phone Number : | 253-732-5508 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rainier Pediatrics, Inc are as mentioned. Primary taxonomy code for Rainier Pediatrics, Inc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD00014726 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Rainier Pediatrics, Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1000303437 | Other | WA | EHR NLR REGISTRATION NUMBER |
| 1069103 | MEDICAID | WA | |
| 601845065 | Other | WA | UBI |
| 2080A0000X | Other | | TAXONOMY CODE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 12904 94th Ave E
Puyallup, WA, 98373-5538
United States |
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| Phone Number : | 253-841-3999 |
|---|
| Fax Number : | 253-841-7311 |
|---|
Business Location:
Patients can refer following map for directions to
Rainier Pediatrics, Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.