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Organization

MT BAKER PAIN CLINIC, P.S.

Active
Parent organization
MT BAKER PAIN CLINIC, P.S.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MT BAKER PAIN CLINIC, P.S.
Authorized official
JENNIFER CERAR RN, CRRN, CASC (CLINICAL MANAGER)
(360) 752-0518
Entity
Organization

Contact information

Practice address
4029 NORTHWEST AVE STE 303, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
(360) 752-0518
(360) 676-2896

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
602939596
WA

Other

Enumeration date
10/21/2009
Last updated
10/21/2009
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