| Northwest Pain Relief Centers, Llc | |
|
12409 E Mission Ave Suite 102 Spokane Valley WA 99216-3101 | |
| (509) 924-3434 | |
| (509) 924-4935 |
| Full Name | Northwest Pain Relief Centers, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 12409 E Mission Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Kyle Bergquist (OWNER) |
| Authorized Official Contact | 2067134721 |
| 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: () - | Northwest Pain Relief Centers, Llc 12409 E Mission Ave Suite 102 Spokane Valley WA 99216-3101 Ph: (509) 924-3434 |
| NPI Number | 1750731832 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750731832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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