# RAINIER ANESTHESIA ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487637013
- **Authorized official:** BRIAN WALLACE MD (HEAD OF GROUP)
- **Authorized official phone:** (713) 447-2353

## Contact information

- **Practice address:** 400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
- **Practice address phone:** (253) 445-5828
- **Mailing address:** PO BOX 1737, TACOMA, WA 98401-1737
- **Mailing address phone:** (253) 445-5828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2005
- **Last updated:** 03/19/2021