Provider Demographics
NPI:1740475581
Name:COLUMBIA NEUROLOGY & PAIN MANAGEMENT, PS
Entity type:Organization
Organization Name:COLUMBIA NEUROLOGY & PAIN MANAGEMENT, PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUI-JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:509-946-7931
Mailing Address - Street 1:221 WELLSIAN WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4120
Mailing Address - Country:US
Mailing Address - Phone:509-946-7931
Mailing Address - Fax:509-946-7223
Practice Address - Street 1:221 WELLSIAN WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4120
Practice Address - Country:US
Practice Address - Phone:509-946-7931
Practice Address - Fax:509-946-7223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040298174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0155649OtherL&I
WADA6591OtherRAILROAD MEDICARE GROUP
WA1114537Medicaid
WA0155649OtherL&I
WA1114537Medicaid