Healthcare Provider Details

I. General information

NPI: 1992851901
Provider Name (Legal Business Name): RAINIER ASSOCIATES PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5909 ORCHARD ST W
TACOMA WA
98467-3824
US

IV. Provider business mailing address

5909 ORCHARD ST W
TACOMA WA
98467-3824
US

V. Phone/Fax

Practice location:
  • Phone: 253-475-6021
  • Fax: 253-474-1871
Mailing address:
  • Phone: 253-475-6021
  • Fax: 253-474-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00003821
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY00000602
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPY00001347
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY00000602
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW40000215
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW40000215
License Number StateWA
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF00001900
License Number StateWA
# 9
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD000145521
License Number StateWA
# 10
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP30006203
License Number StateWA

VIII. Authorized Official

Name: DR. BARRY STUART ANTON
Title or Position: PARTNER
Credential: PH.D.
Phone: 253-475-6021