Raynald H Im, M.D.
Family Medicine in Everett, WA. Individual provider (NPI-1).
NPI number1003136979
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1003136979
- Entity type
- Individual (NPI-1)
- Name
- Raynald H Im
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2010
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD60366594 | WA | Yes |
| 207Q00000X | Family Medicine | A119516 | CA |
Practice location
3927 Rucker AveEverett, WA 98201-4833
Phone 425-339-5422 · Fax 425-339-5444
Mailing address
7600 Evergreen WayEverett, WA 98203-6421
Phone 206-860-5414
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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