Organization
PACIFIC COAST INTEGRATED MEDICAL GROUP PLLC
Active
Other names
Bellevue Pain Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LARRY POLZIN DC (MEMBER)
(425) 922-2055
Entity
Organization
Contact information
Practice address
12360 NE 8TH ST STE 200, BELLEVUE, WA 98005-4801
(425) 922-2055
(888) 899-4360
Mailing address
12360 NE 8TH ST STE 200, BELLEVUE, WA 98005-4801
(425) 922-2055
(888) 899-4360
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
175F00000X
Naturopath
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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