Healthcare Provider Details

I. General information

NPI: 1629655527
Provider Name (Legal Business Name): COLTON J RINER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PROSSER HEALTH DR
PROSSER WA
99350-7832
US

IV. Provider business mailing address

652 PUNKIE LN
RICHLAND WA
99352-9218
US

V. Phone/Fax

Practice location:
  • Phone: 509-786-2222
  • Fax:
Mailing address:
  • Phone: 509-845-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOP61599853
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: