Organization
SOUND PAIN ALLIANCE
Active
Other names
Black Stone Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEDER (ADMINISTRATOR)
(801) 641-5613
Entity
Organization
Contact information
Practice address
1849 NW KEARNEY ST STE 201, PORTLAND, OR 97209-1453
(503) 477-5205
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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