| Rainier Branch | |
|
5802 Rainier Ave S Seattle WA 98118-2706 | |
| (206) 723-1980 | |
| (206) 721-3930 |
| Full Name | Rainier Branch |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5802 Rainier Ave S, Seattle, Washington |
| Authorized Official Name and Position | Sean Potter (BILLING MANAGER) |
| Authorized Official Contact | 2063230930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Branch 5802 Rainier Ave S Seattle WA 98118-2706 Ph: (206) 723-1980 | Rainier Branch 5802 Rainier Ave S Seattle WA 98118-2706 Ph: (206) 723-1980 |
| NPI Number | 1164514808 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164514808 | NPI | - | NPPES |
| 1993542 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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