NPIMap

Organization Active NPI

Washington Center for Pain Management PLLC

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
National Provider Identifier
1295258697
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC
Practice address
155 Lilly Rd NE Ste 2
Olympia, WA 98506-5028
Phone
(425) 774-1538
Fax
(425) 332-7038
NPI assigned
Jul 18, 2017
Organization subpart
Yes
Parent organization
WASHINGTON CENTER FOR PAIN MANAGEMENT PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Jacky Hong, RN
Title
Nursing Director
Phone
(425) 774-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

155 Lilly Rd NE Ste 2
Olympia, WA 98506-5028

Mailing address

PO Box 827
Bellevue, WA 98009-0827
Phone (425) 774-1538

Other names 1

  • Olympia Pain & Spine Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sports and Spine9 organizations share this tax ID, including this one
Part of
Sports and Spine

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1295258697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090827",
            "telephone_number": "425-774-1538",
            "fax_number": "425-332-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LILLY RD NE STE 2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065028",
            "telephone_number": "425-774-1538",
            "fax_number": "425-332-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON CENTER FOR PAIN MANAGEMENT PLLC",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "NURSING DIRECTOR",
        "authorized_official_telephone_number": "425-774-1538",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Pain & Spine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.