| NPI | 1053431684 |
|---|---|
| Doing Business As | PUGET SOUND PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIKA STUIT Administrator 360-752-0518 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA OP00001595) |
| 261Q00000X Clinic/Center | |
| 261QP3300X Clinic/Center, Pain (Licence: WA OP00001595) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-07-22 |