PAIN CARE PHYSICIANS PLLC NPI 1669214714

NPI Information

NPI: 1669214714
Provider Name: PAIN CARE PHYSICIANS PLLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 1415 N HOUK RD STE B
SPOKANE VALLEY, WA
ZIP 99216
Phone: (206) 538-6300

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NPI Details

PAIN CARE PHYSICIANS PLLC is an ambulatory surgical clinic center in Spokane Valley, WA. PAIN CARE PHYSICIANS PLLC NPI is 1669214714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1415 N HOUK RD STE B
SPOKANE VALLEY, WA
ZIP 99216-043
Phone: (206) 538-6300
Fax: (206) 538-6301

The provider's authorized official is Kevin Moon .
The authorized official title is Director Of Revenue And Finance and has the following contact phone number (206) 538-6300.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 7/21/2025.

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	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
3	261QA1903X	Clinic/Center	Ambulatory Surgical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144779232	OTHER	WASHINGTON	OTHER (NON-MEDICARE)
2	50C0001354	OTHER	WASHINGTON	MEDICARE CERTIFICATION NUMBER

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: 11/21/2025

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