Organization
NORTHWEST PAIN RELIEF CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE BERGQUIST D.C. (OWNER)
(360) 362-0551
Entity
Organization
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 305, LAKEWOOD, WA 98499-8135
(253) 472-9669
(253) 473-2904
Mailing address
PO BOX 1190, SILVERDALE, WA 98383-1190
(360) 478-9788
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD60359416
WA
Other
Enumeration date
04/24/2015
Last updated
07/12/2016
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