Rainier Family Practice PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AP30006938 Issued in WA

Legal business name

RAINIER FAMILY PRACTICE PLLC

Practice address

1408 State Ave NE
Suite 111
Olympia, WA 98506-4481

Phone

(360) 705-2273

Fax

(360) 357-2274

NPI assigned

Oct 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Lisa Charles

Title

Owener/Arnp

Phone

(360) 259-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1285886770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 STATE AVE NE",
            "address_2": "SUITE 111",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064481",
            "telephone_number": "360-705-2273",
            "fax_number": "360-357-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 STATE AVE NE",
            "address_2": "SUITE 111",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064481",
            "telephone_number": "360-705-2273",
            "fax_number": "360-357-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWENER/ARNP",
        "authorized_official_telephone_number": "360-259-8300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "AP30006938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rae, LMHC
• Zaher A Rafeh, DO
• Azra Rahim, M.D.
• Hollie Raincloud
• Jana Raines, LMP
• Rainier Family Practice, PLLC
• Rainier Health Partners, PLLP
• Rainier Speech Therapy LLC
• Shannon Sue Rainwater
• Emily Ralston, RN

• Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.