Organization
PAIN CONSULTANTS OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BERNADETTE M NELSON (OPERATIONS MANAGER)
(425) 899-6030
Entity
Organization
Contact information
Practice address
13123 121ST WAY NE, SUITE D, KIRKLAND, WA 98034-3051
(425) 899-6030
(425) 899-6031
Mailing address
13123 121ST WAY NE, SUITE D, KIRKLAND, WA 98034-3051
(425) 899-6030
(425) 899-6031
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD00026916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175948
L&I GROUP
WA
01
—
5608570001
MEDICARE NORIDIAN ADMINIS
WA
05
—
7125826
—
WA
Enumeration date
07/03/2006
Last updated
01/15/2008
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