Organization
PAIN CARE PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRIAN MOON (DIRECTOR OF REVENUE AND FINANCE)
(206) 538-6300
Entity
Organization
Contact information
Practice address
1260 116TH AVE NE STE 130, BELLEVUE, WA 98004-3800
(206) 538-6300
(206) 538-6301
Mailing address
801 SW 16TH ST STE 121, RENTON, WA 98057-2628
(206) 538-6300
(206) 538-6301
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144779232
BILLING NPI
—
Enumeration date
10/05/2023
Last updated
07/21/2025
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