Organization
WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE LEE (CEO)
(425) 774-1538
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST, SUITE 110, RENTON, WA 98057-4803
(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
—
6229050010
DME PTAN
WA
Enumeration date
01/23/2015
Last updated
06/02/2015
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