OrganizationActive
Pain Care Physicians PLLC
NPI 1144779232 · Interventional Pain Medicine Physician · Renton, WA
Provider details
- NPI number
- 1144779232
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Moon, Director of Revenue and Finance(206) 538-6300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Ambulatory Surgical Clinic/Center261QA1903X
Ambulatory Health Care Facilities
Practice location
801 Sw 16th St
Suite 121
Renton, WA 98057
Phone: (206) 538-6300
Fax: (206) 538-6301
Approximate (ZIP-level) locationGet directions
Mailing address
801 Sw 16th St
Renton, WA 98057
Additional practice locations (2)
- 155 Lilly Rd Ne Ste BOlympia, WA 98506-5028Phone: (206) 538-6300Fax: (206) 538-6301
- 1415 N Houk Rd Ste BSpokane Valley, WA 99216-1043Phone: (509) 381-4500Fax: (509) 381-4501
Registry dates
- Enumerated
- 2016-09-29
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.