R TYLER REIDENBAUGH MD PLLC
NPI 1316421803
Substance Abuse Rehabilitation Facility in Burien, WA

Active since September 20, 2018
12101 AMBAUM BLVD SW, BURIEN, WA 98146(206) 244-8100 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2019, Sep 20, 2018 (2 updates tracked since 2018).

About R Tyler Reidenbaugh Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

R TYLER REIDENBAUGH MD PLLC (NPI 1316421803) is a healthcare organization registered as a substance abuse rehabilitation facility in Burien, Washington and active in the NPI registry since September 2018. The organization lists Robert Tyler Reidenbaugh, Attending Physician, as its authorized official.

NPPES Registry Identity

NPI1316421803
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameR TYLER REIDENBAUGH MD PLLC
Location Address12101 AMBAUM BLVD SWBurien, WA 98146-2651
Mailing Address4710 40th Ave Sw Ste N408Seattle, WA 98116-4674 · (405) 313-6080
Organization SubpartNo
Authorized OfficialRobert Tyler ReidenbaughAttending Physician · (405) 313-6080
Enumeration DateSeptember 20, 2018
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
NPI 1316421803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12101 AMBAUM BLVD SW, Burien, WA 98146

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Hospital
12101 AMBAUM BLVD SW
BURIEN, WA 98146
Special Hospital
12101 AMBAUM BLVD SW
BURIEN, WA 98146
Special Hospital
12101 AMBAUM BLVD SW
SEATTLE, WA 98146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Tyler Reidenbaugh MD PLLC's NPI number?

The NPI number for R Tyler Reidenbaugh MD PLLC is 1316421803. It was assigned to this organization in the NPPES registry on September 20, 2018.

Where is R Tyler Reidenbaugh MD PLLC located?

R Tyler Reidenbaugh MD PLLC is located at 12101 Ambaum Blvd SW, Burien, WA 98146. The listed phone number is (206) 244-8100.

What is R Tyler Reidenbaugh MD PLLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for R Tyler Reidenbaugh MD PLLC was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.