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Organization
SOUND PAIN ALLIANCE
Active
Organization
SOUND PAIN ALLIANCE
Active
Other names
Bonney Lake Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEDER (CEO)
(801) 641-5613
Entity
Organization
Contact information
Practice address
21509 STATE ROUTE 410 E STE 1A, BONNEY LAKE, WA 98391-4104
(253) 891-2160
(253) 981-2171
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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