Blake Pain Solutions Pc

LBN: Blake Pain Solutions Pc
Blake Pain Solutions Pc is an health care organization with primary practice located at 2312 Ne 129Th St , Vancouver WA 98686-3236. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Blake Pain Solutions Pc can be contacted via phone (360) 696-5022, or through Blake, Jacob Leroy via phone (503) 894-0365.

Contact Information

Primary practice address
2312 Ne 129Th St Vancouver WA 98686-3236
Phone: (360) 696-5022
Fax: (360) 696-5445
Website:
Map and Directions
Authorized official contact:
Name: Blake, Jacob Leroy Doctor of Medicine (MD)
Phone: (503) 894-0365

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X MD60071790 Washington

Profile Details

NPI number 1063784700
LBN Legal business name Blake Pain Solutions Pc
DBA Doing business as
Authorized official Blake, Jacob Leroy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2012
Last updated Mar 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063784700 NPPES
Washington MEDICAID 8537383

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