Organization Active NPI

Rainier Occupational Medical Center

  • Occupational Medicine Clinic/Center
  • Seattle, WA
National Provider Identifier
1477713196
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
19706 Issued in WA
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7108905MedicaidWA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.