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Organization
COAST SPINE AND SPORTS MEDICINE
Active
Organization
COAST SPINE AND SPORTS MEDICINE
Active
Other names
Coast Injury Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (BILLING MANAGER)
(253) 648-1853
Entity
Organization
Contact information
Practice address
2727 HOLLYCROFT ST STE 290, GIG HARBOR, WA 98335-1305
(253) 648-1853
(425) 800-9756
Mailing address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(253) 648-1853
(425) 800-9756
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
07/05/2024
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