Organization
VIRGINIA MASON MEDICAL CENTER
Active
Other names
VM PAIN CLINIC-REGENCE
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA HILT (PRESIDENT)
(206) 341-1208
Entity
Organization
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-1770
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
H-010
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA6994
BLUE SHIELD #
WA
Enumeration date
05/16/2007
Last updated
08/07/2024
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