Organization
RAINIER INTEGRATED PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABATANZI AGNES BEWAYO MD (GOVERNOR/MEMBER)
(971) 251-5788
Entity
Organization
Contact information
Practice address
402 S 333RD ST STE 105, FEDERAL WAY, WA 98003-7099
(971) 251-5788
Mailing address
PO BOX 58608, RENTON, WA 98058-1608
(971) 251-5788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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