Provider Demographics
NPI:1528799244
Name:RAINIER VALLEY BIRTH & HEALTH CENTER
Entity type:Organization
Organization Name:RAINIER VALLEY BIRTH & HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:KALEILANI
Authorized Official - Last Name:LAWAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS, DNP
Authorized Official - Phone:206-474-6267
Mailing Address - Street 1:4704 S MEAD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2810
Mailing Address - Country:US
Mailing Address - Phone:425-207-8769
Mailing Address - Fax:888-435-9983
Practice Address - Street 1:4300 TALBOT RD S STE 402
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6238
Practice Address - Country:US
Practice Address - Phone:425-207-8769
Practice Address - Fax:888-435-9983
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH SEATTLE WOMEN'S HEALTH FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-22
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing