Healthcare Provider Details

I. General information

NPI: 1811298441
Provider Name (Legal Business Name): JAMES WILLIAM RICE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2010
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 OAKESDALE AVE SW SUITE C200
RENTON WA
98057-5227
US

IV. Provider business mailing address

PO BOX 13684
SEATTLE WA
98198-1010
US

V. Phone/Fax

Practice location:
  • Phone: 866-259-1629
  • Fax:
Mailing address:
  • Phone: 206-592-5000
  • Fax: 206-824-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00015479
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: