Northwest Pain Relief Centers LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MD60359416 Issued in WA

Legal business name

NORTHWEST PAIN RELIEF CENTERS LLC

Practice address

7424 Bridgeport Way W Ste 305
Lakewood, WA 98499-8135

Phone

(253) 472-9669

Fax

(253) 473-2904

NPI assigned

Apr 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Bergquist, D.C.

Title

Owner

Phone

(360) 362-0551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhoda Lee Reich, PA-C

  • Surgical Physician Assistant
  • Spokane, WA
  • NPI 1487706040
  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1356738694",
    "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",
            "telephone_number": "360-478-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BRIDGEPORT WAY W STE 305",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998135",
            "telephone_number": "253-472-9669",
            "fax_number": "253-473-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PAIN RELIEF CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-362-0551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "MD60359416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Northcutt
• Sedaya Northern, MS
• Weston Alexander Northrop
• Kathleen Northrup, BS
• Northwest Optical Vision Center Inc. (Northwest Optical)
• Northwest Physicians Medical Group, PLLC (Physican Care NW)
• Casie Dee Norton
• April Novotny-Cardenas, LICSW
• Nicole Michele Nowak, BSP
• Paul Joseph Nuccio, MD

• Multi-Specialty Clinic/Center in Lakewood, WA
• Providers in Lakewood, 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 Jul 12, 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.