OrganizationActive
Pain Care Physicians PLLC
NPI 1588113062 · Interventional Pain Medicine Physician · Tacoma, WA
Provider details
- NPI number
- 1588113062
- 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
- License
- 604032151 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1628 S Mildred St Ste 102
Tacoma, WA 98465-1628
Phone: (206) 538-6300
Fax: (206) 538-6301
Street-level locationGet directions
Mailing address
801 Sw 16th St
Renton, WA 98057-2697
Registry dates
- Enumerated
- 2016-09-26
- 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.