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Contact Information

ADVANCED PAIN CARE PS
205 LILLY RD NE BLDG B
STE A
OLYMPIA, WA98506
 Phone: 360-218-5990
 Fax: 866-308-9873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Pain

261QP3300X
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN CARE PS

NPI # 1114410495
LBN Legal business name ADVANCED PAIN CARE PS
Authorized official DAVID NAIBERT - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/11/2018
Last updated 01/01/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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