NORTHWEST PHYSICAL MEDICINE PS NPI 1265701965

NPI Information

  • NPI: 1265701965
  • Provider Name: NORTHWEST PHYSICAL MEDICINE PS
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Doing Business As: BELLEVUE WELLNESS
  • Address: 10655 NE 4TH ST
    SUITE 101
    BELLEVUE, WA
    ZIP 98004
  • Phone: (425) 455-2225

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NPI Details

NORTHWEST PHYSICAL MEDICINE PS is a pain medicine physical medicine rehabilitation in Bellevue, WA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NORTHWEST PHYSICAL MEDICINE PS NPI is 1265701965. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bellevue Wellness.

The provider's business location address is:

10655 NE 4TH ST
SUITE 101
BELLEVUE, WA
ZIP 98004-035
Phone: (425) 455-2225

The provider's authorized official is Raymon Kooner .
The authorized official title is Owner and has the following contact phone number (425) 455-2225.

The enumeration date for this NPI number is 12/26/2011 and was last updated on 5/30/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P2900XPhysical Medicine & RehabilitationPain MedicineMD00044383WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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