Sound Pain Alliance
Organization Active NPI Pain Clinic/Center · Corvallis, OR
NPI 1437893286 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1437893286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- Legal business name
- SOUND PAIN ALLIANCE
- Practice address
- 2298 NW Kings Blvd
Corvallis, OR 97330-3923 - Phone
- (541) 368-5986
- NPI assigned
- Apr 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Josh Leder
- Title
- Practice Administrator
- Phone
- (801) 641-5613
Other NPIs with the same Medicare PAC ID 13
Corporate family (same tax ID) 25
Practitioners 56
-
Timothy I Hilton, APRN-C
-
Fardowsa Shariff Idris, PHYSICIAN ASSISTANT
-
Brolin Johnson, PA
-
Marc Musson, D.O.
-
Jared Lee Thomas, FNP
-
Stephen Edward Whorrall, PA-C
-
Alan Chen, M.D.
-
Patrick Francis Demarco, PH.D.
-
Brad Goldworm, P.A.
-
Shelly Harford X, PA
-
Edward Delpino Hernandez, PSY.D.
-
Jon F Hillyer, MD
-
Vaughn Theodore Howe, P.A.
-
Jason S Hussey, PA-C
-
Casey McConnell Inman, ARNP, LAC
-
Nicholas Andrew Juan, M.D.
-
Kyong Ho Kim, DO
-
Andrew Koogler, M.D.
-
Micah Lasley, PA-C
-
Cheryl Lewis, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230922003449 | OR | DME Supplier - Multi-Specialty - Physician | 0941565162 | Practice locations: Corvallis, OR |
National Provider Directory
- Tax ID family
- Sound Pain Alliance
Locations
2314 NW Kings Blvd
Ste B
Corvallis, OR 97330
Phone (541) 368-5986
388 State St
Ste 420
Salem, OR 97301
Phone (541) 368-5986
16410 Smokey Point Blvd
Ste 210
Arlington, WA 98223
Phone (360) 200-4388
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
9927 Mickelberry Rd NW
Ste 101
Silverdale, WA 98383
Phone (360) 616-9563
629 Avenue D
Ste 1
Snohomish, WA 98290
Phone (360) 568-1554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Physical Therapist |
225100000X | |||
| Clinic/Center | 261Q00000X | |||
| Pain Clinic/Center | 261QP3300X | Yes |
Addresses
Primary practice location
2298 NW Kings Blvd
Corvallis, OR 97330-3923
Mailing address
4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Other names
- Black Stone Health
Other providers in Corvallis, OR
- Luka Soskic
- Vukman Soskic
- Maria Eugenia Sotelo Dominguez
- Amanda Jean Soto
- Sound Pain Alliance
- Trevor Lee Spangle
- Junita T Spann
- Stefan Spann
- Chase True-Love Sparks
- Ryan David Sparks
All providers in Corvallis, OR · Pain Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.