| Rainier Family Practice, Pllc | |
|
1408 State Ave Ne Ste 111 Olympia WA 98506-4481 | |
| (360) 705-2273 | |
| (360) 357-2274 |
| Full Name | Rainier Family Practice, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1408 State Ave Ne Ste 111, Olympia, Washington |
| Authorized Official Name and Position | Shana L Charles (OWNER) |
| Authorized Official Contact | 3602598300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Family Practice, Pllc 1408 State Ave Ne Ste 111 Olympia WA 98506-4481 Ph: (360) 705-2273 | Rainier Family Practice, Pllc 1408 State Ave Ne Ste 111 Olympia WA 98506-4481 Ph: (360) 705-2273 |
| NPI Number | 1487047601 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487047601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AP30006938 (Washington) | Primary |
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