WASHINGTON CENTER FOR PAIN MANAGEMENT LLC (NPI# 1194381905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194381905 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC |
| Practice Address |
120 14th Ave Se Ste B Puyallup WA 98372-3718 |
| Mailing Address |
Po Box 827 Bellevue WA 98009-0827 |
| Practice Telephone | 4257741538 |
| Mailing Telephone | 4257741538 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-12-03 |
| Authorized Official Name | JACKY HONG (OFFICE MANAGER) |
| Authorized Official Telephone | 4257741538 |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1508473281 | Washington Center for Pain Management LLC | Pain Medicine | 2820 Northup Way Ste 245, Bellevue, WA 98004-1419 | 2020-09-28 |
| 1467846162 | Washington Center for Pain Management LLC | Anesthesiology | 922 S 348th St, Federal Way, WA 98003-7021 | 2015-03-20 |
| 1558751958 | Washington Center for Pain Management LLC | Anesthesiology | 11786 Sw Barnes Rd, Suite 270, Portland, OR 97225-5929 | 2015-01-23 |
| 1336539733 | Washington Center for Pain Management LLC | Anesthesiology | 1412 Sw 43rd St, Suite 110, Renton, WA 98057-4803 | 2015-01-23 |
| 1588067896 | Washington Center for Pain Management LLC | Anesthesiology | 1408 3rd St Se, 1st Floor, Puyallup, WA 98372-3702 | 2014-09-30 |
| 1295145019 | Washington Center for Pain Management LLC | Anesthesiology | 13126 120th Ave Ne, Kirkland, WA 98034-3014 | 2014-05-01 |
| 1215350814 | Washington Center for Pain Management LLC | Anesthesiology | 3305 Nassau St, Everett, WA 98201-4140 | 2014-02-03 |
| 1710300728 | Washington Center for Pain Management LLC | Anesthesiology | 1301 4th Ave Nw Ste 200, Issaquah, WA 98027-9371 | 2014-01-27 |
| 1124463864 | Washington Center for Pain Management LLC | Pain Medicine | 6323 111th St Sw, Lakewood, WA 98499-1303 | 2013-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WASHINGTON CENTER FOR PAIN MANAGEMENT LLC | 12100 Northup Way, Bellevue, WA 98005 |
| Street Address |
120 14TH AVE SE STE B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760757850 | Kosnoski Eye Care Inc | Clinic/Center | 12511 Meridian E, Puyallup, WA 98373-3425 | 2012-03-21 |
| 1265620751 | Nicole M. Lauer Chiropractic P.a. | Clinic/Center | 2600 S Meridian, Apt 1412, Puyallup, WA 98373-1556 | 2007-10-09 |
| 1821097429 | Puyallup Radiological Assocs, Inc. | Clinic/Center | 800 S Meridian, Suite B, Puyallup, WA 98371-6995 | 2005-07-18 |
| 1528445160 | Rediclinic of Wa, LLC | Clinic/Center | 9502 176th St E, Puyallup, WA 98375-9300 | 2015-05-04 |
| 1598176893 | Merwin Chiropractic Inc | Clinic/Center | 15311 Canyon Rd E, Puyallup, WA 98375-7473 | 2014-05-08 |
| 1982924767 | John L. Diller, Md | Clinic/Center | 610 S Meridian, Puyallup, WA 98371-5908 | 2010-06-03 |
| 1497874903 | Puyallup Clinic Inc | Clinic/Center | 800 S Meridian Ste A, Puyallup, WA 98371-6994 | 2007-03-28 |
| 1386754661 | Lakes Family Medicine, Ps | Clinic/Center | 10116 116th St E, Suite 101, Puyallup, WA 98373-3543 | 2006-08-30 |
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|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.