WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC (NPI# 1295258697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295258697 |
| Entity Type | Organization |
| Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC |
| Other Organization Name | OLYMPIA PAIN & SPINE SURGERY CENTER |
| Practice Address |
155 Lilly Rd Ne Ste 2 Olympia WA 98506-5028 |
| Mailing Address |
Po Box 827 Bellevue WA 98009-0827 |
| Practice Telephone | 4257741538 |
| Practice Fax Number | 4253327038 |
| Mailing Telephone | 4257741538 |
| Mailing Fax Number | 4253327038 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | JACKY HONG (NURSING DIRECTOR) |
| Authorized Official Telephone | 4257741538 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Olympia Pain & Spine Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801450952 | Washington Center for Pain Management Pllc | Clinic/Center | 5602 Ruddell Rd Se Ste A, Lacey, WA 98503-5163 | 2019-04-24 |
| 1992335541 | Washington Center for Pain Management Pllc | Pain Medicine | 3426 Broadway Ste 101, Everett, WA 98201-5098 | 2020-01-23 |
| 1215464979 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne, Suite 2, Olympia, WA 98506-5028 | 2017-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC | 1900 116th Ave Ne, Ste 100, Bellevue, WA 98004-3013 |
| Street Address |
155 LILLY RD NE STE 2 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780845826 | Olympia Eye Clinic Pllc | Clinic/Center | 724 Columbia St Nw, Olympia, WA 98501-1291 | 2008-06-20 |
| 1548241623 | Gastroenterology Associates, LLC | Clinic/Center | 500 Lilly Rd Ne Ste 150, Olympia, WA 98506-9106 | 2005-11-07 |
| 1396350765 | Cmn Surgical Pllc | Clinic/Center | 145 Lilly Rd Ne Ste 101, Olympia, WA 98506-5028 | 2020-09-13 |
| 1215464979 | Washington Center for Pain Management Pllc | Clinic/Center | 155 Lilly Rd Ne, Suite 2, Olympia, WA 98506-5028 | 2017-05-12 |
| 1316315930 | Robert Gr Lang, Md Inc Ps | Clinic/Center | 3525 Ensign Rd Ne Ste J, Olympia, WA 98506-5065 | 2015-09-14 |
| 1710243514 | Donald G. Echols | Clinic/Center | 128 Lilly Rd Ne Ste 105, Olympia, WA 98506-7400 | 2012-04-05 |
| 1316040405 | Surgery Center of Olympia LLC | Clinic/Center | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808571 | N W Eye Surgeons P C | Clinic/Center | 903 Medical Center Dr Ste 200, Arlington, WA 98223-2600 | 2020-10-15 |
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1861041139 | Kadlec Regional Medical Center | Clinic/Center | 1270 Lee Blvd Ste B, Richland, WA 99352-4231 | 2019-09-09 |
| 1891357406 | Phoenix Ionm, LLC. | Clinic/Center | 11 Ohrazda Ln, East Wenatchee, WA 98802-9335 | 2019-07-03 |
| 1023570488 | Sight Partners, LLC | Clinic/Center | 3405 188th St Sw Ste 303, Lynnwood, WA 98037-4744 | 2019-04-04 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1376026575 | Alderwood Surgery Center LLC | Clinic/Center | 3500 188th St Sw Ste 670, Lynnwood, WA 98037-4782 | 2018-09-13 |
| 1023507183 | South Perry Endoscopy Pllc | Clinic/Center | 907 S Perry St Ste 260, Spokane, WA 99202-3462 | 2018-05-04 |
| 1730687179 | Multicare Health System | Clinic/Center | 842 S Cowley St Ste 3, Spokane, WA 99202-1234 | 2018-01-31 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.