REDICLINIC OF WA, LLC - NPI 1528445160 - Clinic/Center in Puyallup, WA

Q: What is Rediclinic Of Wa, LLC's NPI number?

The NPI number for Rediclinic Of Wa, LLC is 1528445160. It was assigned to this organization in the NPPES registry on May 4, 2015.

Q: What is Rediclinic Of Wa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

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About Rediclinic Of Wa, Llc NPPES

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

REDICLINIC OF WA, LLC (NPI 1528445160) is a healthcare organization registered as a clinic/center in Puyallup, Washington and active in the NPI registry since May 2015. The organization lists Danielle Barrera, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1528445160

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameREDICLINIC OF WA, LLC

Location Address9502 176TH ST EPuyallup, WA 98375-9300

Mailing Address9 Greenway Plz, Ste. 2950Houston, TX 77046-0905 · (713) 335-1754 · Fax (713) 358-4870

Phone(713) 335-1742

Fax(713) 358-4881

Organization SubpartNo

Authorized OfficialDanielle BarreraChief Operating Officer · (713) 580-9489

Enumeration DateMay 4, 2015

✔ NPI 1528445160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9502 176TH ST E, Puyallup, WA 98375

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Other Providers at the Same Location NPPES 12

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

HEE DO PARK RPH

Pharmacist