Provider Demographics
NPI:1447607478
Name:GIG HARBOR PRIMARY CARE LLC
Entity Type:Organization
Organization Name:GIG HARBOR PRIMARY CARE LLC
Other - Org Name:RAINIER FAMILY MEDICINE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-432-4437
Mailing Address - Street 1:4423 POINT FOSDICK DR NW
Mailing Address - Street 2:SUITE 306
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1797
Mailing Address - Country:US
Mailing Address - Phone:253-432-4437
Mailing Address - Fax:866-336-4138
Practice Address - Street 1:4423 POINT FOSDICK DR NW
Practice Address - Street 2:SUITE 306
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1797
Practice Address - Country:US
Practice Address - Phone:253-432-4437
Practice Address - Fax:866-336-4138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care