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SOUND PAIN ALLIANCE NPI 1053431684


NPI Information

NPI: 1053431684
Provider Name: SOUND PAIN ALLIANCE

Doing Business As: PUGET SOUND PAIN CLINIC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 50D2151236

Address:
11306 BRIDGEPORT WAY SW
#D
LAKEWOOD, WA
ZIP 98499
Phone: (253) 983-9390
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SOUND PAIN ALLIANCE is a pain clinic center in Lakewood, WA. SOUND PAIN ALLIANCE NPI is 1053431684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Puget Sound Pain Clinic.

The provider's business location address is:

11306 BRIDGEPORT WAY SW
#D
LAKEWOOD, WA
ZIP 98499-037
Phone: (253) 983-9390
Fax: (253) 983-0066

The provider's authorized official is Erika Stuit .
The authorized official title is Administrator and has the following contact phone number (360) 752-0518.

The CLIA number assigned to this NPI record is 50D2151236 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineOP00001595WASHINGTONNo
2261Q00000XClinic/CenterNo
3261QP3300XClinic/CenterPainOP00001595WASHINGTONNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5261QP3300XClinic/CenterPainYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17121882MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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