Organization
SOUND PAIN ALLIANCE
Active
Parent organization
PUGET SOUND PAIN CLINIC PS
Other names
Puget Sound Pain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUGET SOUND PAIN CLINIC PS
Authorized official
JOSH LEDER (ADMINISTRATOR)
(801) 641-5613
Entity
Organization
Contact information
Practice address
7200 S 180TH ST STE 102, TUKWILA, WA 98188-5548
(253) 983-9390
(253) 983-0066
Mailing address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
(253) 983-0066
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
OP00001595
WA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/24/2015
Last updated
08/16/2023
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