# SOUND PAIN ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUGET SOUND PAIN CLINIC PS
- **Other names:** Puget Sound Pain Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518354752
- **Legal business name:** PUGET SOUND PAIN CLINIC PS
- **Authorized official:** JOSH LEDER (ADMINISTRATOR)
- **Authorized official phone:** (801) 641-5613

## Contact information

- **Practice address:** 7200 S 180TH ST STE 102, TUKWILA, WA 98188-5548
- **Practice address phone:** (253) 983-9390
- **Practice address fax:** (253) 983-0066
- **Mailing address:** 11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
- **Mailing address phone:** (253) 983-9390
- **Mailing address fax:** (253) 983-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0014X | Interventional Pain Medicine Physician | OP00001595 | WA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2015
- **Last updated:** 08/16/2023