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Organization

RAINIER FAMILY PRACTICE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHANA L CHARLES ARNP (OWNER)
(360) 259-8300
Entity
Organization

Contact information

Practice address
1408 STATE AVE NE STE 111, OLYMPIA, WA 98506-4481
(360) 705-2273
(360) 357-2274
Mailing address
1408 STATE AVE NE STE 111, OLYMPIA, WA 98506-4481
(360) 705-2273
(360) 357-2274

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP30006938
WA

Other

Enumeration date
03/12/2015
Last updated
03/12/2015
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