Organization Active NPI

Rainier Medical Spa and Infusion Center

  • Naturopath
  • Gig Harbor, WA
National Provider Identifier
1629583109
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
RAINIER MEDICAL SPA AND INFUSION CENTER
Practice address
6712 Kimball Dr Ste 102
Gig Harbor, WA 98335-1220
Phone
(253) 853-8854
Fax
(253) 853-8855
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. Russell L Kolbo, ND, DC
Title
Owner
Phone
(253) 853-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

6712 Kimball Dr Ste 102
Gig Harbor, WA 98335-1220

Mailing address

6712 Kimball Dr Ste 102
Gig Harbor, WA 98335-1220
Phone (253) 853-8854

National Provider Directory

National Provider Directory

Locations

6712 Kimball Dr
Ste 102
Gig Harbor, WA 98335
Phone (253) 853-8854

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1629583109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR STE 102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351220",
            "telephone_number": "253-853-8854",
            "fax_number": "253-853-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 KIMBALL DR STE 102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351220",
            "telephone_number": "253-853-8854",
            "fax_number": "253-853-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINIER MEDICAL SPA AND INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "KOLBO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-853-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "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 Dec 6, 2017; 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.