Rainier State School
NPI #1164547626 in Buckley, Washington
Provider Information
- NPI Number
- 1164547626
- Entity Type
- Organization
- Organization Name
- Rainier State School
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 2120 RYAN RD
- City
- Buckley
- State
- Washington
- ZIP Code
- 98321-9115
- Phone
- (360) 829-1111
Authorized Official
- Name
- COLLEEN T PECK, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (425) 301-9856
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Intermediate Care Facility, Intellectual Disabilities |
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