Organization
NORTHWEST PAIN RELIEF CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE BERGQUIST DC (OWNER)
(206) 713-4721
Entity
Organization
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD, SUITE 204, VANCOUVER, WA 98683-0499
(360) 433-9580
(866) 824-5107
Mailing address
PO BOX 1190, SILVERDALE, WA 98383-1190
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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