Northwest Pain Relief Centers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTHWEST PAIN RELIEF CENTERS, LLC

Practice address

503 W Fir St
Suite D
Sequim, WA 98382-3210

Phone

(360) 797-1728

Fax

(360) 797-1738

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Kyle Bergquist, DC

Title

Owner

Phone

(206) 713-4721

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1962852038",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W FIR ST",
            "address_2": "SUITE D",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823210",
            "telephone_number": "360-797-1728",
            "fax_number": "360-797-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PAIN RELIEF CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "BERGQUIST",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-4721",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Olympic Family Practice
• Northwest Bras LLC
• Northwest Eye & Skin Surgeons Inc PS
• Northwest Fitness LLC
• Northwest Massage and Holistic Healing Center
• Shirley Ann Norton, PA-C
• Dawn Delisa Novotny, LMSW
• Robert Nuffer, LCSW
• Christine Paige O'Connor-Perrino, LMP
• Jerome R Oakes, M.D.

• Multi-Specialty Clinic/Center in Sequim, WA
• Providers in Sequim, 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 Aug 11, 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.