Organization
SOUND PAIN ALLIANCE
Active
Parent organization
PUGET SOUND PAIN CLINIC, P.S.
Other names
Puget Sound Pain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUGET SOUND PAIN CLINIC, P.S.
Authorized official
ERIKA STUIT (ADMINISTRATOR)
(360) 752-0518
Entity
Organization
Contact information
Practice address
11306 BRIDGEPORT WAY SW, #D, LAKEWOOD, WA 98499-3037
(253) 983-9390
(253) 983-0066
Mailing address
PO BOX 39324, LAKEWOOD, WA 98496-3324
(253) 983-9390
(253) 983-0066
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
OP00001595
WA
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
OP00001595
WA
261QP3300X
Pain Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7121882
—
WA
Enumeration date
03/29/2007
Last updated
07/22/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us