Provider Demographics
NPI:1841932118
Name:RAINEY, CHRISTINA SADE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:SADE
Last Name:RAINEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 W LINCOLN AVE STE 119
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2571
Mailing Address - Country:US
Mailing Address - Phone:509-388-7796
Mailing Address - Fax:509-902-8429
Practice Address - Street 1:1115 W LINCOLN AVE STE 119
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-2571
Practice Address - Country:US
Practice Address - Phone:509-388-7796
Practice Address - Fax:509-902-8429
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator