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

NW Interventional Medicine and Orthopedic Rehab PLLC

Organization Medical Physician Assistant · NPI 1982058814

NW Interventional Medicine and Orthopedic Rehab PLLC is a Medical Physician Assistant 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
Phone: (360) 253-6883
Fax: (360) 892-7040
Show map & directions

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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