Mount Rainier Health Clinic, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MOUNT RAINIER HEALTH CLINIC, PLLC

Practice address

6712 Kimball Dr
Ste 100
Gig Harbor, WA 98335-1212

Phone

(253) 853-8853

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MOUNT RAINIER HEALTH CLINIC, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Karl D. Peterson, ND

Title

Medical Director

Phone

(253) 853-8853

Specialties & licenses 1

Addresses

Part of

Mount Rainier Health Clinic PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mount Rainier Health Clinic, PLLC

  • Naturopath
  • Gig Harbor, WA
  • NPI 1215229067
  NPPES parent name

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1538411608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR",
            "address_2": "STE 100",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351212",
            "telephone_number": "253-853-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT RAINIER HEALTH CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNT RAINIER HEALTH CLINIC, PLLC",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "253-853-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Esther Morse
• Heather Elizabeth Morton, ND
• Cynthia Marie Mosbrucker, M.D.
• Christie D Moses, PHARM. D
• Mount Rainier Health Clinic, PLLC
• Katherine Muehlenbruch, MED, MHCA
• Brian Joseph Mugleston, M.D.
• Bo Mullen, D.C.
• Jacqueline Ellen Mullen, MOTR L
• Jamie Kathleen Mullen, D.C.

• Non-Pharmacy Dispensing Site in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.