| NPI | 1053601179 |
|---|---|
| Former Legal Business Name | NORTHWEST PAIN CARE, INC |
| Entity Type | Organization |
| Authorized Contact | JOHN ALDEN HATHEWAY Owner/Physician Of Northwest &Pain 509-863-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD000475514) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-11-24 |