Washington Center For Pain Management Pllc | |
5602 Ruddell Rd Se Ste A Lacey WA 98503-5163 | |
(425) 774-1538 | |
Not Available |
Full Name | Washington Center For Pain Management Pllc |
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Speciality | Clinic/center |
Location | 5602 Ruddell Rd Se Ste A, Lacey, Washington |
Authorized Official Name and Position | Jacky Hong (MANAGER) |
Authorized Official Contact | 4257741538 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Washington Center For Pain Management Pllc Po Box 827 Bellevue WA 98009-0827 Ph: (425) 774-1538 | Washington Center For Pain Management Pllc 5602 Ruddell Rd Se Ste A Lacey WA 98503-5163 Ph: (425) 774-1538 |
NPI Number | 1801450952 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 04/24/2019 |
Identifier | Type | State | Issuer |
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1801450952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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