Organization
CASCADE INTERVENTIONAL PAIN CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAISIMHA K IYENGAR MD (DOCTOR)
(253) 627-2666
Entity
Organization
Contact information
Practice address
1818 S UNION, SUITE 1 A, TACOMA, WA 98405
(253) 627-2666
(253) 627-8661
Mailing address
PO BOX 731689, PUYALLUP, WA 98373
(253) 627-2666
(253) 627-8661
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD00036006
WA
Other
Enumeration date
07/30/2006
Last updated
07/24/2015
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