Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

NW Interventional Medicine and Orthopedic Rehab PLLC

Organization Medical Physician Assistant · NPI 1982058814

NW Interventional Medicine and Orthopedic Rehab PLLC provides Medical Physician Assistant services in Vancouver, Washington. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11802 NE 65th St
Vancouver, WA 98662 Not confirmed with CMS for 10 years — call before visiting
Phone: (360) 253-6883
Fax: (360) 892-7040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1982058814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Back — Owner/Manager · (360) 253-6883
NPI enumeratedApril 18, 2016
Last updated in NPPESApril 18, 2016
Mailing address11802 Ne 65th St., Vancouver, WA 98662

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