Organization
SOUND PAIN ALLIANCE
Active
Other names
Peninsula Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA STUIT RN (ADMINISTRATOR)
(360) 752-0518
Entity
Organization
Contact information
Practice address
9927 MICKELBERRY RD NW STE 101, SILVERDALE, WA 98383-7861
(360) 692-2330
(360) 692-2329
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
LICENSE
WA
Enumeration date
08/05/2015
Last updated
07/22/2019
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