OrganizationActive
Advanced Pain Care Ps
NPI 1114410495 · Physician Assistant · Olympia, WA
Provider details
- NPI number
- 1114410495
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Lake Washington Private Medicine Inc
- Organization subpart
- Yes
- Authorized official
- David Naibert, Owner(206) 200-5867
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Practice location
205 Lilly Rd Ne Bldg B
Ste a
Olympia, WA 98506
Phone: (360) 218-5990
Fax: (866) 308-9873
Approximate (ZIP-level) locationGet directions
Mailing address
Dept La 24793
Pasadena, CA 91185-4793
Other names (DBA / former)
- Doing business as
- Advanced Pain Care Ps
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2024-01-01
- Certified
- 2024-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.