Organization
RAINIER SPRINGS PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MILLER (EVP, CFO)
(412) 588-3546
Entity
Organization
Contact information
Practice address
2805 NE 129TH STREET, VANCOUVER, WA 98686
(360) 356-1890
(360) 356-1891
Mailing address
101 S 5TH ST, LOUISVILLE, KY 40202-3157
(360) 356-1890
(360) 356-1891
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
09/26/2018
Last updated
05/20/2020
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