Organization
ADVANCED PAIN CARE PS
Active
Parent organization
LAKE WASHINGTON PRIVATE MEDICINE INC
Other names
Advanced Pain Care PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE WASHINGTON PRIVATE MEDICINE INC
Authorized official
DR. DAVID KEITH NAIBERT MD (OWNER)
(206) 200-5867
Entity
Organization
Contact information
Practice address
205 LILLY RD NE BLDG B, STE A, OLYMPIA, WA 98506
(360) 218-5990
(866) 308-9873
Mailing address
DEPT LA 24793, PASADENA, CA 91185-4793
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
01/01/2024
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