Provider Demographics
NPI:1477204295
Name:PAINLESS CLINIC PLLC
Entity Type:Organization
Organization Name:PAINLESS CLINIC PLLC
Other - Org Name:UNI CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHANG
Authorized Official - Middle Name:BUM
Authorized Official - Last Name:SHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-228-7446
Mailing Address - Street 1:4300 TALBOT RD S. STE 314, UNI CLINIC
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6238
Mailing Address - Country:US
Mailing Address - Phone:425-228-7446
Mailing Address - Fax:425-277-4746
Practice Address - Street 1:4300 TALBOT RD S. STE 314
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-6238
Practice Address - Country:US
Practice Address - Phone:425-228-7446
Practice Address - Fax:425-277-4746
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAINLESS CLINIC PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-13
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty