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

Peninsula Pain Clinic, PLLC

Organization Clinic/Center · NPI 1912376005

Peninsula Pain Clinic, PLLC is a Clinic/Center in Bremerton, Washington. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
Specialties on file
3
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

2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208
Phone: (360) 415-9110
Fax: (360) 479-0265
Show map & directions

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

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X
Clinic/Center Taxonomy 261Q00000X
Non-Pharmacy Dispensing Site Taxonomy 332900000X · Licence OP60339103 (WA)

Record details

NPI number1912376005
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPeninsula Pain Clinic, PLLC
Authorized official Terry Pexton — Medical Director · (360) 415-9110
NPI enumeratedSeptember 18, 2015
Last updated in NPPESJuly 22, 2019
Mailing address2980 N Beverly Glen Cir Ste 100, Los Angeles, CA 90077-1728

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