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Organization
MT BAKER PAIN CLINIC, P.S.
Active
Organization
MT BAKER PAIN CLINIC, P.S.
Active
Parent organization
MT BAKER PAIN CLINIC, P.S.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MT BAKER PAIN CLINIC, P.S.
Authorized official
JENNIFER CERAR RN, CRRN, CASC (CLINICAL MANAGER)
(360) 752-0518
Entity
Organization
Contact information
Practice address
4029 NORTHWEST AVE STE 303, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
602939596
WA
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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