| Ri International | |
|
800 S Meridian Ste A&b Puyallup WA 98371-6995 | |
| (253) 235-5216 | |
| (253) 944-1750 |
| Full Name | Ri International |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 S Meridian Ste A&b, Puyallup, Washington |
| Authorized Official Name and Position | Corina Ogaz (ASSOCIATE DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 6026363085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ri International 2701 N 16th St Ste 316 Phoenix AZ 85006-1266 Ph: () - | Ri International 800 S Meridian Ste A&b Puyallup WA 98371-6995 Ph: (253) 235-5216 |
| NPI Number | 1659880078 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 06/21/2022 |
| Certification Date | 06/21/2022 |
| Medicare PECOS PAC ID | 1456500628 |
|---|---|
| Medicare Enrollment ID | O20121003000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659880078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 200104 (Washington) | Primary |
| Provider Name | Vasant G Halarnakar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124093372 PECOS PAC ID: 0547324667 Enrollment ID: I20090203000735 |
| Provider Name | Jennifer C Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215039854 PECOS PAC ID: 8224167051 Enrollment ID: I20100603000485 |
| Provider Name | Courtney R Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922358183 PECOS PAC ID: 8426297805 Enrollment ID: I20130614000380 |
| Provider Name | Annabelle T Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699286336 PECOS PAC ID: 0840557443 Enrollment ID: I20171207001226 |
| Provider Name | Anita T Sassaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952644965 PECOS PAC ID: 1355589474 Enrollment ID: I20180104001722 |
| Provider Name | Patrick Kuritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710191168 PECOS PAC ID: 7517182256 Enrollment ID: I20180123001904 |
| Provider Name | Kondal Rao Madaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003952144 PECOS PAC ID: 4284826892 Enrollment ID: I20180123002024 |
| Provider Name | Alimatou Moustapha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316588619 PECOS PAC ID: 3072941582 Enrollment ID: I20200317000417 |
| Provider Name | Christopher Charles Linderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548885916 PECOS PAC ID: 1850711623 Enrollment ID: I20201015002977 |
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