# WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC
- **Other names:** Olympia Pain & Spine Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295258697
- **Legal business name:** WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC
- **Authorized official:** JACKY HONG RN (NURSING DIRECTOR)
- **Authorized official phone:** (425) 774-1538

## Contact information

- **Practice address:** 155 LILLY RD NE STE 2, OLYMPIA, WA 98506-5028
- **Practice address phone:** (425) 774-1538
- **Practice address fax:** (425) 332-7038
- **Mailing address:** PO BOX 827, BELLEVUE, WA 98009-0827
- **Mailing address phone:** (425) 774-1538
- **Mailing address fax:** (425) 332-7038

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2017
- **Last updated:** 07/18/2017