Organization
MOUNT RAINIER HEALTH CLINIC, PLLC
Active
Parent organization
MOUNT RAINIER HEALTH CLINIC, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT RAINIER HEALTH CLINIC, PLLC
Authorized official
DR. KARL D. PETERSON ND (MEDICAL DIRECTOR)
(253) 853-8853
Entity
Organization
Contact information
Practice address
6712 KIMBALL DR, STE 100, GIG HARBOR, WA 98335-1212
(253) 853-8853
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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