Washington Center for Pain Management LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

WASHINGTON CENTER FOR PAIN MANAGEMENT LLC

Practice address

1408 3Rd St SE
1St Floor
Puyallup, WA 98372-3702

Phone

(425) 774-1538

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Jae Lee

Title

Ceo

Phone

(425) 774-1538

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1588067896",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 3RD ST SE",
            "address_2": "1ST FLOOR",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723702",
            "telephone_number": "425-774-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CENTER FOR PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-774-1538"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PTAN",
            "identifier": "6229050008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Elise Warren Perez, MD
• Gregory Warren
• Therssa Joann Warren
• Sophie Warshaw, DPT
• Washington Center for Pain Management LLC
• Washington CVS Pharmacy LLC
• Washington CVS Pharmacy LLC
• Washington CVS Pharmacy LLC
• Washington Dental Corporation PC
• Washington Dental Corporation, PC

• Pain Medicine (Anesthesiology) Physician in Puyallup, WA
• Providers in Puyallup, 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 May 6, 2015; 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.