Organization
SOUND PAIN ALLIANCE
Active
Other names
Black Stone Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH LEDER (PRACTICE ADMINISTRATOR)
(801) 641-5613
Entity
Organization
Contact information
Practice address
2298 NW KINGS BLVD, CORVALLIS, OR 97330-3923
(541) 368-5986
Mailing address
4029 NORTHWEST AVE STE 301, BELLINGHAM, WA 98226-9077
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
06/18/2024
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