# NORTHWEST PAIN SPECIALISTS LLC

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

## Provider details

- **NPI number:** 1326539834
- **Authorized official:** RUSSELL LEGG M.D. (OWNER)
- **Authorized official phone:** (614) 625-5805

## Contact information

- **Practice address:** 8819 W VICTORIA AVE, KENNEWICK, WA 99336
- **Practice address phone:** (509) 460-5500
- **Practice address fax:** (509) 460-5111
- **Mailing address:** PO BOX 2589, IDAHO FALLS, ID 83403-2589
- **Mailing address phone:** (208) 525-2090
- **Mailing address fax:** (208) 523-8978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 60674447 | WA | Yes |

## Other

- **Enumeration date:** 05/21/2018
- **Last updated:** 05/21/2018