# PACIFIC PAIN SPECIALISTS

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

## Provider details

- **NPI number:** 1205163771
- **Authorized official:** DR. JASON KIM MD (OWNER/MANAGER)
- **Authorized official phone:** (206) 601-2097

## Contact information

- **Practice address:** 22510 SE 64TH PLACE, SUITE 120, ISSAQUAN, WA 98027
- **Practice address phone:** (425) 391-2722
- **Practice address fax:** (425) 391-2922
- **Mailing address:** 22510 SE 64TH PLACE, SUITE 120, ISSAQUAN, WA 98027
- **Mailing address phone:** (425) 391-2722
- **Mailing address fax:** (425) 391-2922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD 00047320 | WA | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 09/21/2010