Organization
WASHINGTON CENTER FOR PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE LEE (CEO)
(425) 774-1538
Entity
Organization
Contact information
Practice address
1408 3RD ST SE, 1ST FLOOR, PUYALLUP, WA 98372-3702
(425) 774-1538
Mailing address
PO BOX 827, BELLEVUE, WA 98009-0827
(425) 774-1538
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6229050008
DME PTAN
WA
Enumeration date
09/30/2014
Last updated
05/06/2015
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