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Coast Spine and Sports Medicine PLLC — NPI 1902518517, Everett, WA | NPI Central

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NPI 1902518517

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Coast Spine and Sports Medicine PLLC

NPI 1902518517 · Physical Medicine & Rehabilitation Physician · Everett, WA

Provider details

NPI number: 1902518517
Entity type: Organization
Primary specialty: Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Sandy Clemens, Access Manager(253) 648-1853

Specialties & taxonomies

Physical Medicine & Rehabilitation PhysicianPrimary208100000X
Allopathic & Osteopathic Physicians

Practice location

15 Sw Everett Mall Way Ste I

Everett, WA 98204-2715

Phone: (253) 648-1853

Fax: (425) 800-9756

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

8012 112th Street Ct E Ste 120

Puyallup, WA 98373-7856

Other names (DBA / former)

Doing business as: Coast Injury Medicine

Additional practice locations (1)

1819 100th Pl Se Ste a
Everett, WA 98208-3864
Phone: (425) 386-0203
Fax: (425) 800-9756

Registry dates

Enumerated: 2022-12-15
Last updated: 2025-07-14
Certified: 2025-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.