| Puget Sound Pain Clinic | |
|
21509 State Route 410 E # 1 Bonney Lake WA 98391-4104 | |
| (253) 983-9390 | |
| (253) 983-0066 |
| Full Name | Puget Sound Pain Clinic |
|---|---|
| Speciality | Clinic/center - Pain |
| Location | 21509 State Route 410 E # 1, Bonney Lake, Washington |
| Authorized Official Name and Position | Josh Leder (ADMINISTRATOR) |
| Authorized Official Contact | 8016415613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puget Sound Pain Clinic 4029 Northwest Ave Ste 301 Bellingham WA 98226-9077 Ph: () - | Puget Sound Pain Clinic 21509 State Route 410 E # 1 Bonney Lake WA 98391-4104 Ph: (253) 983-9390 |
| NPI Number | 1306411277 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306411277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP3300X | Clinic/center - Pain | (* (Not Available)) | Primary |
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