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Organization

RAINIER INTERNAL MEDICINE LLC

Active
Other names
Northwest Integrated Health
Organization subpart
No

Provider details

NPI number
Authorized official
ASIF KHAN M.D. (CEO)
(253) 666-5912
Entity
Organization

Contact information

Practice address
3800 3RD ST SE, PUYALLUP, WA 98374-1109
(253) 200-0415
Mailing address
P.O. BOX 19680, LAKEWOOD, WA 98496
(253) 503-3666

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CP60560378
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2001900
WA
Enumeration date
12/02/2015
Last updated
03/31/2020
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