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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952319972 | NPPES |
| Washington | Other | 0293199 | L&I |
| Washington | MEDICAID | 1952319972 | L&I |
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