| NPI | 1659807584 |
|---|---|
| Doing Business As | MT BAKER PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIKA STUIT Administrator 360-752-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-07-22 |