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Organization

NORTHWEST PAIN RELIEF CENTERS, LLC

Active
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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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