Organization Active NPI

Compass Pain Clinic Washington PC

  • Physical Medicine & Rehabilitation Physician
  • Mount Vernon, WA
National Provider Identifier
1235081837
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COMPASS PAIN CLINIC WASHINGTON PC
Practice address
2021 E College Way Ste 210
Mount Vernon, WA 98273-2373
Phone
(503) 867-5219
NPI assigned
Feb 14, 2026
Last updated
Feb 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Authorized official

Name
Matthew PetersonNPI 1891785606
Title
MD
Phone
(907) 671-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2021 E College Way Ste 210
Mount Vernon, WA 98273-2373

Mailing address

2021 E College Way Ste 210
Mount Vernon, WA 98273-2373

National Provider Directory

National Provider Directory

Locations

2021 E College Way
Ste 210
Mount Vernon, WA 98273
Phone (360) 755-3670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1235081837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E COLLEGE WAY STE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COLLEGE WAY STE 210",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732373",
            "telephone_number": "503-867-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PAIN CLINIC WASHINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "907-671-1720"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.