Northwest Pain Relief Centers, Llc | |
16821 Se Mcgillivray Blvd Suite 204 Vancouver WA 98683-0499 | |
(360) 433-9580 | |
(866) 824-5107 |
Full Name | Northwest Pain Relief Centers, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 16821 Se Mcgillivray Blvd, Vancouver, 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 |
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Northwest Pain Relief Centers, Llc Po Box 1190 Silverdale WA 98383-1190 Ph: () - | Northwest Pain Relief Centers, Llc 16821 Se Mcgillivray Blvd Suite 204 Vancouver WA 98683-0499 Ph: (360) 433-9580 |
NPI Number | 1275983355 |
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Provider Enumeration Date | 06/20/2016 |
Last Update Date | 06/20/2016 |
Identifier | Type | State | Issuer |
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1275983355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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