NPI: 1053601179
Provider Name: NORTHWEST PAIN CARE, PS
Former Legal Business Name: NORTHWEST PAIN CARE, INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization
Specialization: Interventional Pain Medicine
CLIA Number: 50D2032511
Address:
421 W RIVERSIDE AVE
SUITE 900
SPOKANE, WA
ZIP 99201
Phone: (509) 863-9789
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NORTHWEST PAIN CARE, PS is an interventional pain medicine pain medicine in Spokane, WA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NORTHWEST PAIN CARE, PS NPI is 1053601179. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Northwest Pain Care, Inc.
The provider's business location address is:
421 W RIVERSIDE AVE
SUITE 900
SPOKANE, WA
ZIP 99201-405
Phone: (509) 863-9789
Fax: (855) 630-0757
The provider's authorized official is John Alden Hatheway .
The authorized official title is Owner/physician Of Northwest &pain and has the following contact phone number (509) 863-9789.
The CLIA number assigned to this NPI record is 50D2032511 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/11/2011 and was last updated on 11/24/2020.