Active NPI
Rainier Occupational Medical Center
- Occupational Medicine Clinic/Center
- Seattle, WA
National Provider Identifier
1477713196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- 19706
- Legal business name
- RAINIER OCCUPATIONAL MEDICAL CENTER
- Practice address
- 1400 South Jackson St
#24
Seattle, WA 98144-2096 - Phone
- (206) 568-8577
- Fax
- (206) 568-3385
- NPI assigned
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Deborah Lynn Moore
- Title
- Office Manager
- Phone
- (206) 568-8577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | 19706 | WA | Primary |
Addresses
Primary practice location
1400 South Jackson St
#24
Seattle, WA 98144-2096
Mailing address
1400 South Jackson St
#24
Seattle, WA 98144-2096
Phone (206) 568-8577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7108905 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1477713196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SOUTH JACKSON ST",
"address_2": "#24",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442096",
"telephone_number": "206-568-8577",
"fax_number": "206-568-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 SOUTH JACKSON ST",
"address_2": "#24",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442096",
"telephone_number": "206-568-8577",
"fax_number": "206-568-3385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINIER OCCUPATIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "206-568-8577",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "WA",
"license": "19706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7108905",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Rainhaven Therapy
- Rainier Beach Dental
- Rainier Cancer Center, PLLC
- Rainier Chiropractic Accident and Injury PS
- Rainier Home Health Care (Rainier LTC Pharmacy)
- Rainier Prep
- Rainier Valley Chiropractic PS
- Rainier Valley Community Clinic
- Rainier Valley Optometric, Inc (Rainier Valley Optometric)
- Rainier Valley Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.