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ADVANCED PAIN CARE PS NPI 1114410495


NPI Information

NPI: 1114410495
Provider Name: ADVANCED PAIN CARE PS

Doing Business As: ADVANCED PAIN CARE PS

Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 50D2154651

Address:
205 LILLY RD NE BLDG B
STE A
OLYMPIA, WA
ZIP 98506
Phone: (360) 218-5990
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ADVANCED PAIN CARE PS is a physician assistant in Olympia, WA. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. ADVANCED PAIN CARE PS NPI is 1114410495. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Pain Care Ps.

The provider's business location address is:

205 LILLY RD NE BLDG B
STE A
OLYMPIA, WA
ZIP 98506
Phone: (360) 218-5990
Fax: (866) 308-9873

The provider's authorized official is David Keith Naibert .
The authorized official title is Owner and has the following contact phone number (206) 200-5867.

The CLIA number assigned to this NPI record is 50D2154651 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 1/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainNo
2363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.