Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mt Rainier Emergency Physicians, PLLC

Organization Emergency Medicine Physician · NPI 1538104476

Mt Rainier Emergency Physicians, PLLC is an Emergency Medicine Physician in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 15th Ave SE
Puyallup, WA 98372-3715
Phone: (253) 697-4000
Fax: (253) 770-5990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X (WA)

Record details

NPI number1538104476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Brook — Owner · (626) 447-0296
NPI enumeratedJune 17, 2006
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing addressPo Box 920145, Dallas, TX 75392-0145

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