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Organization

WASHINGTON CENTER FOR PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAE LEE (CEO)
(425) 774-1538
Entity
Organization

Contact information

Practice address
13126 120TH AVE NE, KIRKLAND, WA 98034-3014
(425) 774-1538
(425) 774-5171
Mailing address
PO BOX 827, BELLEVUE, WA 98009-0827
(425) 774-1538
(425) 774-5171

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6229050009
DME PTAN
WA
Enumeration date
05/01/2014
Last updated
05/02/2017
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