Provider Demographics
NPI:1720575400
Name:RFMP PLLC
Entity Type:Organization
Organization Name:RFMP PLLC
Other - Org Name:RAINIER FAMILY MEDICINE & PEDIATRICS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PA-C, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-768-4045
Mailing Address - Street 1:853 WATSON ST N STE 201
Mailing Address - Street 2:
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-9348
Mailing Address - Country:US
Mailing Address - Phone:360-768-4045
Mailing Address - Fax:360-226-3942
Practice Address - Street 1:853 WATSON ST N STE 201
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022
Practice Address - Country:US
Practice Address - Phone:360-768-4045
Practice Address - Fax:360-226-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60115653207Q00000X, 207V00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty