Organization
WASHINGTON CENTER FOR PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUN HONG MD (MEDICAL DIRECTOR)
(425) 774-1538
Entity
Organization
Contact information
Practice address
155 LILLY RD NE, OLYMPIA, WA 98506-5028
(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
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6229050005
DME PTAN
WA
Enumeration date
05/10/2013
Last updated
05/20/2016
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