Provider Demographics
NPI:1902213036
Name:RAINIER PREP
Entity Type:Organization
Organization Name:RAINIER PREP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL LEADER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:O'SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:2067251174
Authorized Official - Phone:206-725-1174
Mailing Address - Street 1:210 S HUDSON ST
Mailing Address - Street 2:C/O WA CHARTERS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-2417
Mailing Address - Country:US
Mailing Address - Phone:206-725-1174
Mailing Address - Fax:
Practice Address - Street 1:210 S HUDSON ST
Practice Address - Street 2:C/O WA CHARTERS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-2417
Practice Address - Country:US
Practice Address - Phone:206-725-1174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251350X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)