Individual
BLAKE RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 70TH AVE W APT 1, UNIVERSITY PLACE, WA 98466-7608
(253) 282-9010
Mailing address
2116 70TH AVE W APT 1, UNIVERSITY PLACE, WA 98466-7608
(253) 282-9010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61137568
WA
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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