Northwest Pain Relief Centers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTHWEST PAIN RELIEF CENTERS, LLC

Practice address

16821 SE McGillivray Blvd
Suite 204
Vancouver, WA 98683-0499

Phone

(360) 433-9580

Fax

(866) 824-5107

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Bergquist, DCNPI 1942397823

Title

Owner

Phone

(206) 713-4721

Specialties & licenses 1

Addresses

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.

• Kyle Thomas Bergquist, D.C

  • Chiropractor
  • Seattle, WA
  • NPI 1942397823
  Authorized official Same address or phone

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1275983355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983831190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD",
            "address_2": "SUITE 204",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830499",
            "telephone_number": "360-433-9580",
            "fax_number": "866-824-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PAIN RELIEF CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-4721",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Massage LLC
• Northwest Medical Associates,PS
• Northwest Medical Inc (Western Medical Specialties Vancouver)
• Northwest Neurology and Sleep Clinic Inc (Northwest Neurology and Sleep Clinic)
• Northwest Nursing LLC
• Northwest Physician Clinic, LLC
• Northwest Rehabilitation Institute (N.W. Rehabilitation Institute & Physical Therapy)
• Northwest Royal Home Care, LLC
• Northwest Surgical Specialists PC (Rebound Spine, Sports & Regenerative Medicine)
• Northwest Surgical Specialists PC (Rebound Camas)

• Multi-Specialty Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.