Organization
PACIFIC COAST MEDICAL GROUP
Active
Other names
BELLEVUE PAIN INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN POLZIN (PRESIDENT)
(865) 590-0376
Entity
Organization
Contact information
Practice address
12360 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005-4801
(425) 999-9633
(888) 899-4360
Mailing address
12360 NE 8TH ST, SUITE 200, BELLEVUE, WA 98005-4801
(425) 999-9633
(888) 899-4360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
10/16/2015
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