Organization · Type 2 NPI

United Backcare PS

Multi-Specialty Clinic/Center · Moses Lake, WA

NPI number 1104523109 Active

Practice location

821 E Broadway Ave Ste 11
Moses Lake, WA 98837-5934

Call (425) 513-8509 Map

Fax (425) 290-9774

Mailing address

9617 7th Ave SE
Everett, WA 98208-3710

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1104523109
Entity type: Organization (Type 2)
Issued: Feb 9, 2023
Last updated: Mar 29, 2024
Status: Active

Other names

<unavail>
Pacific Rehabilitation Centers · doing business as
Pacific Rehabilitation Centers · doing business as

Authorized official

Mary E Spores, OTR
Owner
(425) 513-8509

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104523109

United Backcare PS's National Provider Identifier is 1104523109, issued on Feb 9, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Moses Lake, WA. The record was last updated on Mar 29, 2024.