Greathouse, Rayleen Amy

Greathouse, Rayleen Amy is an individual health care provider with primary practice located at 32018 23Rd Ave S , Federal Way WA 98003-6022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Greathouse, Rayleen Amy can be contacted via phone (253) 839-3030.

Contact Information

Primary practice address
32018 23Rd Ave S Federal Way WA 98003-6022
Phone: (253) 839-3030
Fax: (206) 520-1799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60271754 Washington

Profile Details

NPI number 1952319972
LBN Legal business name Greathouse, Rayleen Amy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952319972 NPPES
Washington Other 0293199 L&I
Washington MEDICAID 1952319972 L&I

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