# RAINIER VALLEY WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAINIER VALLEY COMMUNITY CLINIC
- **Other names:** South Seattle Women's Health Foundation
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114636669
- **Legal business name:** RAINIER VALLEY COMMUNITY CLINIC
- **Authorized official:** TARA KALEILANI LAWAL MS RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (206) 474-6267

## Contact information

- **Practice address:** 4708 S MEAD ST, SEATTLE, WA 98118-2810
- **Practice address phone:** (206) 474-6267
- **Mailing address:** 4704 S MEAD ST, SEATTLE, WA 98118-2810
- **Mailing address phone:** (206) 474-6267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 12/09/2022