Peninsula Pain Clinic – Pain Clinic/Center, NPI 1164314555

Peninsula Pain Clinic is a healthcare provider. based in Bellingham, Washington. specializing in Pain Clinic/Center. The NPI Number for Peninsula Pain Clinic is 1164314555

Main info

Organization
Name
Peninsula Pain Clinic
NPI
1164314555
Phone
Not provided
Address
4029 NORTHWEST AVE STE 301
Authorized Official
JOSH LEDER ADMINISTRATOR
Enumeration Date
18 July 2025
Last Update Date
9 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience20
Completeness90
Years active:0State licenses:0Digital endpoints

Provider Addresses for Peninsula Pain Clinic

  • 4029 NORTHWEST AVE STE 301

    BELLINGHAM, WA 982269077

    Phone:

    Type: Mailing

  • 9220 RIDGETOP BLVD NW STE 120

    SILVERDALE, WA 983838583

    Phone: (360) 415-9110

    Fax: (360) 479-0265

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98226)

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Reviews

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Frequently asked questions

What federal number belongs to Peninsula Pain Clinic?
The federal identifier for Peninsula Pain Clinic is NPI 1164314555.
Is Peninsula Pain Clinic currently active in the NPI registry?
CMS-published data lists Peninsula Pain Clinic as an active registrant.
What field does Peninsula Pain Clinic work in?
You can think of Peninsula Pain Clinic as practicing within Pain Clinic/Center. Clinical services aligned with this taxonomy classification.
What location shows for Peninsula Pain Clinic?
We surface Bellingham, Washington for Peninsula Pain Clinic based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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