RAINIER FAMILY MEDICINE & PEDIATRICS PLLC
NPI 1720575400
Family Medicine in Enumclaw, WA

Active since April 18, 2018CLIA 50D2151852 · Waiver
853 WATSON ST N STE 201, ENUMCLAW, WA 98022(360) 768-4045(360) 226-3942 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2018, Apr 18, 2018 (2 updates tracked since 2018).

About Rainier Family Medicine & Pediatrics Pllc NPPES

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

RAINIER FAMILY MEDICINE & PEDIATRICS PLLC (NPI 1720575400) is a healthcare organization registered as a family medicine in Enumclaw, Washington and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brian J Hiller, Pa-c, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720575400
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRFMP PLLC
Location Address853 WATSON ST N STE 201Enumclaw, WA 98022
Mailing Address853 Watson St N Ste 201Enumclaw, WA 98022-9348 · (360) 768-4045 · Fax (360) 226-3942
Fax(360) 226-3942
Organization SubpartNo
Authorized OfficialBrian J HillerPa-c, Ceo · (360) 768-4045
Enumeration DateApril 18, 2018
Last NPPES UpdateJuly 17, 20182 updates tracked since enumeration
NPI 1720575400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · PA60115653
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License PA60115653 (WA)
Also ListedPediatricsTaxonomy 208000000X · License PA60115653 (WA)
853 WATSON ST N STE 201, Enumclaw, WA 98022

Other Names 1

Doing Business AsRainier Family Medicine & Pediatrics Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2151852

Rainier Family Medicine And Pediatrics PLLC · Enumclaw, WA
Active · expires Apr 4, 2028
CLIA Number50D2151852
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2018
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrian Hiller
Laboratory Phone(360) 768-4045
Laboratory LocationRainier Family Medicine And Pediatrics PLLC853 Watson St N Ste 201, Enumclaw, WA 98022
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
853 WATSON ST N STE 201
ENUMCLAW, WA 98022
Nurse Practitioner
853 WATSON ST N STE 201
ENUMCLAW, WA 98022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720575400, enumerated as an "organization" on April 18, 2018.

The provider is located at 853 WATSON ST N STE 201 ENUMCLAW, WA 98022 and the phone number is (360) 768-4045.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.