Blake Pain Solutions Pc

NPI 1063784700 - Clinic/Center - 261QP3300X

NPI Details
NPI 1063784700
Enumeration Date 01/26/2012
Last Updated 03/19/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Phone (360) 696-5022
Fax (360) 696-5445
Practice Location
2312 NE 129TH ST
VANCOUVER WA, 98686-3236, US
Phone (360) 696-5022
Fax (360) 696-5445
Business Location
PO BOX 1600
VANCOUVER WA, 98668-1600, US
Phone (360) 696-5022
Fax (360) 696-5445
Taxonomy Code 261QP3300X
License State Washington
License Number MD60071790
Remove 1063784700 NPI Number

According to our database, Blake Pain Solutions Pc NPI is 1063784700, taxonomy code is 261QP3300X and license number is MD60071790, license state is located at Washington. Blake Pain Solutions Pc physically located at 2312 Ne 129th St, Vancouver WA, 98686-3236. NPI Number 1033115704 has the healthcare provider type.

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1063784700 NPI number is provided on an as is basis without warranty of any kind. 1063784700 is maintained by the National Plan & Provider Enumeration System. The contents of Blake Pain Solutions Pc are for informational purposes only.