Organization
NORTHWEST COAST INJURY MKEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (ACCESS MANAGER)
(253) 648-1853
Entity
Organization
Contact information
Practice address
7720 NE VANCOUVER MALL DR STE 120, VANCOUVER, WA 98662-7918
(360) 524-4800
(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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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