Pain Management of North Idaho, PLLC
Pain Management of North Idaho, PLLC is an Interventional Pain Medicine Physician in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1686 W Riverstone Dr Ste 1Coeur D Alene, ID 83814-5779
Phone: (208) 765-4807
Fax: (208) 765-2903
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence M7860 (ID) |
|---|
Record details
| NPI number | 1467583153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tina Botai — Practice Administrator · (208) 765-4807 |
| NPI enumerated | March 7, 2007 |
| Last updated in NPPES | June 26, 2025 |
| Certification date | June 26, 2025 |
| Mailing address | 1686 W Riverstone Dr, Ste 1, Coeur D Alene, ID 83814-5779 |