Organization
COAST SPINE AND SPORTS MEDICINE
Active
Other names
Coast Injury Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (BILLING MANAGER)
(253) 648-1853
Entity
Organization
Contact information
Practice address
2727 HOLLYCROFT ST STE 290, GIG HARBOR, WA 98335-1305
(253) 648-1853
(425) 800-9756
Mailing address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(253) 648-1853
(425) 800-9756
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
07/05/2024
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