Organization
PACIFIC PAIN SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON KIM MD (OWNER/MANAGER)
(206) 601-2097
Entity
Organization
Contact information
Practice address
22510 SE 64TH PLACE, SUITE 120, ISSAQUAN, WA 98027
(425) 391-2722
(425) 391-2922
Mailing address
22510 SE 64TH PLACE, SUITE 120, ISSAQUAN, WA 98027
(425) 391-2722
(425) 391-2922
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD 00047320
WA
Other
Enumeration date
11/04/2009
Last updated
09/21/2010
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