# RAINIER PEDIATRICS, INC

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

## Provider details

- **NPI number:** 1720498280
- **Authorized official:** DR. MICHAEL L PEARSON M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (253) 732-5508

## Contact information

- **Practice address:** 12904 94TH AVE E, PUYALLUP, WA 98373-5538
- **Practice address phone:** (253) 841-3999
- **Practice address fax:** (253) 841-7311
- **Mailing address:** 12904 94TH AVE E, PUYALLUP, WA 98373-5538
- **Mailing address phone:** (253) 841-3999
- **Mailing address fax:** (253) 841-7311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | MD00014726 | WA | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014