| Northwest Pain Relief Centers Llc | |
|
7424 Bridgeport Way W Ste 305 Lakewood WA 98499-8135 | |
| (253) 472-9669 | |
| (253) 473-2904 |
| Full Name | Northwest Pain Relief Centers Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7424 Bridgeport Way W Ste 305, Lakewood, Washington |
| Authorized Official Name and Position | Kyle Bergquist (OWNER) |
| Authorized Official Contact | 3603620551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Pain Relief Centers Llc Po Box 1190 Silverdale WA 98383-1190 Ph: (360) 478-9788 | Northwest Pain Relief Centers Llc 7424 Bridgeport Way W Ste 305 Lakewood WA 98499-8135 Ph: (253) 472-9669 |
| NPI Number | 1356738694 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356738694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | MD60359416 (Washington) | Primary |
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