Cascade Pain PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CASCADE PAIN PLLC

Practice address

6323 111TH St SW
Lakewood, WA 98499-1303

Phone

(425) 563-6274

NPI assigned

Feb 20, 2017

Last updated

Feb 20, 2017By 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

Dr. Praveen Mambalam, MD

Title

Physician

Phone

(425) 563-6274

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1871032193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3426",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98009",
            "telephone_number": "425-563-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 111TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991303",
            "telephone_number": "425-563-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PAIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MAMBALAM",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-563-6274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Carter
• Brooke Rane Cartwright, LMP
• Mary Lee Carver, MA
• Brenda Kay Casanova, DPT
• Cascade Comfort Adult Family Home LLC
• Jeffrey Allen Casebolt, MA
• Katherine Emily Cash
• Griselda Nallely Casillas Tapia
• Norma Casillas
• Caspian Orthodontics

• Interventional Pain Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Interventional Pain Medicine Physician in Washington

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