# SOUTH HILL PAIN & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Health & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619737764
- **Authorized official:** MELISSA ANN BARCLAY ARNP (NP/OWNER)
- **Authorized official phone:** (425) 476-1100

## Contact information

- **Practice address:** 21701 76TH AVE W STE 104, EDMONDS, WA 98026-7536
- **Practice address phone:** (425) 375-5689
- **Mailing address:** 21701 76TH AVE W STE 104, EDMONDS, WA 98026-7536
- **Mailing address phone:** (425) 476-1100
- **Mailing address fax:** (425) 748-7782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0000X | Pain Management Registered Nurse | — | NULL | Yes |
| 163WP0000X | Pain Management Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2024
- **Last updated:** 10/08/2026
