# ADVANCED PAIN CARE PS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE WASHINGTON PRIVATE MEDICINE INC
- **Other names:** Advanced Pain Care PS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114410495
- **Legal business name:** LAKE WASHINGTON PRIVATE MEDICINE INC
- **Authorized official:** DR. DAVID KEITH NAIBERT MD (OWNER)
- **Authorized official phone:** (206) 200-5867

## Contact information

- **Practice address:** 205 LILLY RD NE BLDG B, STE A, OLYMPIA, WA 98506
- **Practice address phone:** (360) 218-5990
- **Practice address fax:** (866) 308-9873
- **Mailing address:** DEPT LA 24793, PASADENA, CA 91185-4793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2018
- **Last updated:** 01/01/2024