| 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 |
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 0941565162 |
|---|---|
| Medicare Enrollment ID | O20230922003273 |
| 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 |
Hilltop Medical Clinic Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18802 Mt View Dr, 18802 Mt View, Bonney Lake, WA 98390 Phone: 253-447-4737 | |
Rediclinic Of Wa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21302 State Route 410 E, Bonney Lake, WA 98391 Phone: 713-335-1742 Fax: 713-358-4881 | |
Auburn Regional Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21220 Sr 410 E, Bonney Lake, WA 98391 Phone: 253-447-4770 Fax: 253-447-4771 | |
Sand Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7720 190th Ave E, Bonney Lake, WA 98391 Phone: 253-374-5183 | |
Noble Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21709 113th St E, Bonney Lake, WA 98391 Phone: 253-737-5764 Fax: 253-220-2127 | |
Sound Pain Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21509 State Route 410 E Ste 1a, Bonney Lake, WA 98391 Phone: 253-891-2160 Fax: 253-981-2171 |