SEATTLE PAIN CENTER (NPI# 1780068528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780068528 |
| Entity Type | Organization |
| Organization Name | SEATTLE PAIN CENTER |
| Practice Address |
16821 Se Mcgillivray Blvd Ste 110 Vancouver WA 98683-0499 |
| Mailing Address |
801 Sw 16th St. Ste. 121 Renton WA 98057-2628 |
| Practice Telephone | 3605587990 |
| Practice Fax Number | 3605587991 |
| Mailing Telephone | 2068058885 |
| Mailing Fax Number | 2068058886 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | DR. FRANK LI (CEO/OWNER) |
| Authorized Official Telephone | 2068058885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SEATTLE PAIN CENTER MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
602811689 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619304714 | Seattle Pain Center | Specialist | 3624 Colby Ave, Suite B, Everett, WA 98201-4776 | 2013-10-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEATTLE PAIN CENTER MEDICAL CORPORATION | 300 Lilly Rd Ne Ste A, Olympia, WA 98506 |
| Street Address |
16821 SE MCGILLIVRAY BLVD STE 110 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-0499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008737 | Advanced Medical Imaging Center LLC | Radiology | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2006-10-18 |
| 1275983355 | Northwest Pain Relief Centers, LLC | Clinic/Center | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2016-06-20 |
| 1447640347 | Vancouver Chiropractic Group | Physician Assistant | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2015-01-29 |
| 1437411667 | Vancouver Medical Group Pllc | Chiropractor | 16821 Se Mcgillivray Blvd, Ste 204, Vancouver, WA 98683-0499 | 2012-06-13 |
| 1932436086 | Emily Schrock Forsyth | Physician Assistant | 16821 Se Mcgillivray Blvd, Ste 110, Vancouver, WA 98683-0499 | 2009-11-11 |
| 1396993556 | Alberto Rodriguez | Physician Assistant | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2008-08-29 |
| 1255598918 | Thomas Earl Kessinger | Chiropractor | 16821 Se Mcgillivray Blvd, Suite 204, Vancouver, WA 98683-0499 | 2008-05-20 |
| 1538364450 | Evelyn Leechawengwongs | Allergy & Immunology | 16821 Se Mcgillivray Blvd, Suite 110, Vancouver, WA 98683-0499 | 2007-06-20 |
| 1578640116 | Carolyn R Comer | Allergy & Immunology | 16821 Se Mcgillivray Blvd, Suite 110, Vancouver, WA 98683-0499 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053585802 | Jordan Graham Graybill | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2008-04-14 |
| 1366964959 | Cure Pain Management, Pllc | Anesthesiology | 920 Ne 112th Ave Ste 104, Vancouver, WA 98684 | 2017-07-14 |
| 1114295300 | Pacific Northwest Pain Center | Anesthesiology | 2312 Ne 129th St, Vancouver, WA 98686-3236 | 2011-12-02 |
| 1447493887 | Elliot Isaac Palmer | Anesthesiology | 2525 Ne 139th St, Vancouver, WA 98686-2719 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822139 | Bellevue Pain and Wellness Pllc | Anesthesiology | 14550 Ne 29th Pl Ste 230, Bellevue, WA 98007-3630 | 2019-10-17 |
| 1659700730 | Washington Center for Pain Management LLC | Anesthesiology | 705 S 9th St Ste 102, Tacoma, WA 98405-4678 | 2013-11-08 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1396044947 | Mind Your Body Clinic Pllc | Anesthesiology | 6900 E Greenlake Way N, Suite J, Seattle, WA 98103 | 2011-03-22 |
| 1205163771 | Pacific Pain Specialists | Anesthesiology | 22510 Se 64th Place, Suite 120, Issaquan, WA 98027 | 2009-11-04 |
| 1528228103 | Jared Paul Wagner | Anesthesiology | 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802-4898 | 2008-06-17 |
| 1780754499 | T Daniel Dibble Md PC | Anesthesiology | 1117 North Evergreen Rd, Suite 2, Spokane, WA 99216-1138 | 2006-11-09 |
| 1508936212 | Timothy Daniel Dibble | Anesthesiology | 1117 N Evergreen Rd Ste 2, Spokane Valley, WA 99216-1138 | 2006-11-09 |
| 1053499608 | Kathy I-wen Wang | Anesthesiology | 1519 3rd St Se Ste 101, Puyallup, WA 98372-3742 | 2006-11-01 |
| 1114017068 | Brendan Rhodes O'donnell | Anesthesiology | 21616 76th W Ave, Suite 209, Edmonds, WA 98026-7512 | 2006-10-13 |
| 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.