| Sound Pain Alliance | |
|
4029 Northwest Ave Bellingham WA 98226-9077 | |
| (509) 591-0070 | |
| Not Available |
| Full Name | Sound Pain Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 4029 Northwest Ave, Bellingham, Washington |
| Authorized Official Name and Position | Erika Stuit (ADMINISTRATOR) |
| Authorized Official Contact | 3607520518 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Pain Alliance 4029 Northwest Ave Bellingham WA 98226-9077 Ph: () - | Sound Pain Alliance 4029 Northwest Ave Bellingham WA 98226-9077 Ph: (509) 591-0070 |
| NPI Number | 1326308982 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 9133385917 |
|---|---|
| Medicare Enrollment ID | O20120725000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326308982 | NPI | - | NPPES |
| Provider Name | Matthew R Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1891785606 PECOS PAC ID: 8921087099 Enrollment ID: I20041122000031 |
| Provider Name | Brent A Richardson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689780751 PECOS PAC ID: 1759388770 Enrollment ID: I20061103000190 |
| Provider Name | Casey Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366752586 PECOS PAC ID: 5294016879 Enrollment ID: I20161220001844 |
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