# MT BAKER PAIN CLINIC, P.S.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MT BAKER PAIN CLINIC, P.S.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013243393
- **Legal business name:** MT BAKER PAIN CLINIC, P.S.
- **Authorized official:** JENNIFER CERAR RN, CRRN, CASC (CLINICAL MANAGER)
- **Authorized official phone:** (360) 752-0518

## Contact information

- **Practice address:** 4029 NORTHWEST AVE STE 303, BELLINGHAM, WA 98226-9077
- **Practice address phone:** (360) 752-0518
- **Practice address fax:** (360) 676-2896
- **Mailing address:** 4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
- **Mailing address phone:** (360) 752-0518
- **Mailing address fax:** (360) 676-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 602939596 | WA | Yes |

## Other

- **Enumeration date:** 10/21/2009
- **Last updated:** 10/21/2009