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Organization

SOUND PAIN ALLIANCE

Active
Other names
Puget Sound Pain Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA D STUIT RN (ADMINISTRATOR)
(360) 752-0518
Entity
Organization

Contact information

Practice address
17615 SE 272ND ST STE 109, COVINGTON, WA 98042-4957
(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
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OP00001595
STATE LICENSE
WA
Enumeration date
10/30/2015
Last updated
07/22/2019
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