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General NPI Number Information
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NPI Number | 1528974359
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Entity Type | Organization
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Legal Business Name | RAINIER LIFESTYLE MEDICINE PLLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 25500 TWO CREEKS UNIT 1811
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City | SAN ANTONIO
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State | TX
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Zip | 78255
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Country | US
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Telephone | 425-930-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 522 W RIVERSIDE AVE STE N
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City | SPOKANE
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State | WA
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Zip | 99201-0581
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Country | US
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Telephone | 425-930-9500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY STOWELL
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Credential | ARNP, FNP-C, AGACNP-
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Telephone | 425-930-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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