# VISTA PAIN CENTER INC

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

## Provider details

- **NPI number:** 1366754426
- **Authorized official:** WENDY KORENKIEWICZ (CLINIC MANAGER)
- **Authorized official phone:** (509) 627-2848

## Contact information

- **Practice address:** 8904 W TUCANNON AVE, KENNEWICK, WA 99336-7178
- **Practice address phone:** (509) 627-2848
- **Practice address fax:** (509) 627-2849
- **Mailing address:** 8904 W TUCANNON AVE, KENNEWICK, WA 99336-7178
- **Mailing address phone:** (509) 627-2848
- **Mailing address fax:** (509) 627-2849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD00041323 | WA | Yes |

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 05/27/2021