Organization
COAST SPINE AND SPORTS MEDICINE PLLC
Active
Other names
Seattle Spine and Sports Medicine, Coast Injury Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (ACCESS MANAGER)
(253) 648-1853
Entity
Organization
Contact information
Practice address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
07/05/2024
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