Organization
CASCADE PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN MAMBALAM MD (PHYSICIAN)
(425) 563-6274
Entity
Organization
Contact information
Practice address
6323 111TH ST SW, LAKEWOOD, WA 98499-1303
(425) 563-6274
Mailing address
PO BOX 3426, BELLEVUE, WA 98009
(425) 563-6274
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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