Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alpha Spine and Pain Clinic PLLC

Organization Interventional Pain Medicine Physician · NPI 1780380006

Alpha Spine and Pain Clinic PLLC is an Interventional Pain Medicine Physician in Olympia, Washington. Registered with an NPI since 2023.

In the registry since
2023
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

3525 Ensign Rd NE Ste A
Olympia, WA 98506-5065
Phone: (425) 777-1538
Fax: (888) 830-1615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1780380006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Praveen Mambalam — Md · (425) 774-1538
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing addressPo Box 827, Bellevue, WA 98009-0827

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