Organization Active NPI

Seattle Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Vancouver, WA
National Provider Identifier
1780068528
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
602811689 Issued in WA
Legal business name
SEATTLE PAIN CENTER
Practice address
16821 SE McGillivray Blvd
Ste 110
Vancouver, WA 98683-0499
Phone
(360) 558-7990
Fax
(360) 558-7991
NPI assigned
Jul 10, 2015
Organization subpart
Yes
Parent organization
SEATTLE PAIN CENTER MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Dr. Frank Li, MDNPI 1811960974
Title
Ceo/Owner
Phone
(206) 805-8885

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 602811689 WA Primary

Addresses

Primary practice location

16821 SE McGillivray Blvd
Ste 110
Vancouver, WA 98683-0499

Mailing address

801 SW 16TH St.
Ste. 121
Renton, WA 98057-2628
Phone (206) 805-8885

National Provider Directory

National Provider Directory
Part of
Seatle Pain Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1780068528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 16TH ST.",
            "address_2": "STE. 121",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572628",
            "telephone_number": "206-805-8885",
            "fax_number": "206-805-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16821 SE MCGILLIVRAY BLVD",
            "address_2": "STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986830499",
            "telephone_number": "360-558-7990",
            "fax_number": "360-558-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PAIN CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEATTLE PAIN CENTER MEDICAL CORPORATION",
        "enumeration_date": "2015-07-10",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "206-805-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "602811689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.