Pacific Northwest Pain Center

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD60109781 Issued in WA

Legal business name

PACIFIC NORTHWEST PAIN CENTER

Practice address

2312 NE 129TH St
Vancouver, WA 98686-3236

Phone

(360) 696-5022

Fax

(360) 696-5445

NPI assigned

Dec 2, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin J Platt, MD

Title

President

Phone

(360) 696-5022

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1114295300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986681600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 NE 129TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863236",
            "telephone_number": "360-696-5022",
            "fax_number": "360-696-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "PLATT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-696-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60109781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Gastroenterology PLLC
• Pacific Island Community of Oregon LLC
• Pacific Midwifery Service
• Pacific Midwifery Service LLC
• Pacific Northwest Electrology LLC
• Pacific Northwest Renal Services, L.L.C. (PNRS-Salmon Creek)
• Pacific Northwest Renal Services, L.L.C. (Fresenius Kidney Care Fort Vancouver)
• Pacific Northwest Specialty Pharmacy LLC (Pacific NW Specialty Pharmacy, LLC)
• Pacific NW Relational Therapy, PLLC
• Pacific Optical Inc (Pacific Optical)

• Pain Medicine (Anesthesiology) Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.