# PACIFIC NORTHWEST PAIN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114295300
- **Authorized official:** DR. BENJAMIN J PLATT MD (PRESIDENT)
- **Authorized official phone:** (360) 696-5022

## Contact information

- **Practice address:** 2312 NE 129TH ST, VANCOUVER, WA 98686-3236
- **Practice address phone:** (360) 696-5022
- **Practice address fax:** (360) 696-5445
- **Mailing address:** PO BOX 1600, VANCOUVER, WA 98668-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD60109781 | WA | Yes |

## Other

- **Enumeration date:** 12/02/2011
- **Last updated:** 12/02/2011