Organization
SOUND PAIN ALLIANCE
Active
Other names
Puget Sound Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEDER (ADMINISTRATOR)
(801) 641-5613
Entity
Organization
Contact information
Practice address
21509 STATE ROUTE 410 E # 1, BONNEY LAKE, WA 98391-4104
(253) 983-9390
(253) 983-0066
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/05/2023
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