Organization
CASCADE INTERVENTIONAL PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDYA K IYENGAR (OFFICE MANAGER)
(253) 627-2666
Entity
Organization
Contact information
Practice address
1818 S UNION, STUITE 1A, TACOMA, WA 98405
(253) 627-2666
(253) 627-8661
Mailing address
PO BOX 111750, TACOMA, WA 98411-1750
(253) 627-2666
(253) 627-8661
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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