Organization
UNITED BACKCARE PS
Active
Other names
Pacific Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SPORES OTR (OWNER)
(425) 513-8509
Entity
Organization
Contact information
Practice address
821 E BROADWAY AVE STE 11, MOSES LAKE, WA 98837-5934
(425) 513-8509
(425) 290-9774
Mailing address
9617 7TH AVE SE, EVERETT, WA 98208-3710
(425) 513-8509
(425) 290-9774
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
03/29/2024
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