NPIMap

Organization Active NPI

Mount Rainier Health Clinic, PLLC

  • Naturopath
  • Gig Harbor, WA
National Provider Identifier
1215229067
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
MOUNT RAINIER HEALTH CLINIC, PLLC
Practice address
6712 Kimball Dr
# 100
Gig Harbor, WA 98335-1220
Phone
(253) 853-8853
Fax
(253) 853-8855
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Lee Kolbo, ND, DC
Title
Owner
Phone
(253) 853-8853

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X WA Primary

Addresses

Primary practice location

6712 Kimball Dr
# 100
Gig Harbor, WA 98335-1220

Mailing address

6712 Kimball Dr
# 100
Gig Harbor, WA 98335-1220
Phone (253) 853-8853

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1215229067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "# 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351220",
            "telephone_number": "253-853-8853",
            "fax_number": "253-853-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "# 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351220",
            "telephone_number": "253-853-8853",
            "fax_number": "253-853-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT RAINIER HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "KOLBO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-853-8853",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.