Provider Demographics
NPI:1972712230
Name:RAINIER MEDICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:RAINIER MEDICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:BRYAN
Authorized Official - Last Name:ROCHIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:253-925-1490
Mailing Address - Street 1:34709 9TH AVE S
Mailing Address - Street 2:SUITE B200
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8722
Mailing Address - Country:US
Mailing Address - Phone:253-925-1490
Mailing Address - Fax:
Practice Address - Street 1:34709 9TH AVE S
Practice Address - Street 2:SUITE B200
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8722
Practice Address - Country:US
Practice Address - Phone:253-925-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA24876207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB13153Medicare ID - Type Unspecified
WAA06502Medicare UPIN