Organization
NORTHWEST PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LEGG M.D. (OWNER)
(614) 625-5805
Entity
Organization
Contact information
Practice address
8819 W VICTORIA AVE, KENNEWICK, WA 99336
(509) 460-5500
(509) 460-5111
Mailing address
PO BOX 2589, IDAHO FALLS, ID 83403-2589
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
60674447
WA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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