Provider Demographics
NPI:1235422452
Name:SOUND HEALTH PHYSICIANS PS
Entity Type:Organization
Organization Name:SOUND HEALTH PHYSICIANS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-654-3516
Mailing Address - Street 1:18631 ALDERWOOD MALL PKWY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8014
Mailing Address - Country:US
Mailing Address - Phone:425-654-3516
Mailing Address - Fax:425-654-3516
Practice Address - Street 1:18631 ALDERWOOD MALL PKWY
Practice Address - Street 2:SUITE 304
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-8014
Practice Address - Country:US
Practice Address - Phone:425-654-3516
Practice Address - Fax:425-654-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-20
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603-081-871207R00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1659326973OtherNPI
WA1548262041OtherNPI
WA1659326973OtherNPI
WAAB07699Medicare Oscar/Certification
WAF88881Medicare UPIN
WAGAB22495Medicare Oscar/Certification