# ADULTCARE OF RENTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health W. Washington
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467574855
- **Authorized official:** CYNTHIA B JENSEN ARNP (CLINICAL DIRECTOR)
- **Authorized official phone:** (425) 251-0205

## Contact information

- **Practice address:** 3900 E VALLEY RD, STE 101, RENTON, WA 98055-4954
- **Practice address phone:** (425) 251-0205
- **Mailing address:** 3900 E VALLEY RD, STE 101, RENTON, WA 98055-4954
- **Mailing address phone:** (425) 251-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 602164615 | WA | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 06/16/2008