ALPHA SPINE AND PAIN CLINIC PLLC
NPI 1962088013
Pain Medicine - Interventional Pain Medicine in Everett, WA

Active since March 19, 2021
3202 COLBY AVE STE B, EVERETT, WA 98201(425) 753-6705 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2023, Apr 22, 2021, Apr 14, 2021 and 2 more (5 updates tracked since 2021).

About Alpha Spine And Pain Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPHA SPINE AND PAIN CLINIC PLLC (NPI 1962088013) is a healthcare organization registered as an interventional pain medicine in Everett, Washington and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Olympia and lists Praveen Mambalam, Md, as its authorized official.

NPPES Registry Identity

NPI1962088013
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameALPHA SPINE AND PAIN CLINIC PLLC
Location Address3202 COLBY AVE STE BEverett, WA 98201-4324
Mailing AddressPo Box 827Bellevue, WA 98009-0827
Organization SubpartNo
Authorized OfficialPraveen MambalamMd · (425) 753-6705
Enumeration DateMarch 19, 2021
Last NPPES UpdateFebruary 7, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1962088013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3202 COLBY AVE STE B, Everett, WA 98201

Secondary Practice Location 1

Location 13525 Ensign Rd NE Ste AOlympia, WA 98506-5065 · Phone (425) 777-4710 · Fax (888) 830-1615

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
3202 COLBY AVE STE B
EVERETT, WA 98201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alpha Spine And Pain Clinic PLLC's NPI number?

The NPI number for Alpha Spine And Pain Clinic PLLC is 1962088013. It was assigned to this organization in the NPPES registry on March 19, 2021.

Where is Alpha Spine And Pain Clinic PLLC located?

Alpha Spine And Pain Clinic PLLC is located at 3202 Colby Ave Ste B, Everett, WA 98201. The listed phone number is (425) 753-6705.

What is Alpha Spine And Pain Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Alpha Spine And Pain Clinic PLLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.