Healthcare Provider Details

I. General information

NPI: 1396123865
Provider Name (Legal Business Name): SOUND SURGEONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 10/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 130TH STREET SE, 1ST FLOOR
EVERETT WA
98208
US

IV. Provider business mailing address

125 130TH STREET SE, 1ST FLOOR
EVERETT WA
98208
US

V. Phone/Fax

Practice location:
  • Phone: 425-224-8200
  • Fax: 425-385-8476
Mailing address:
  • Phone: 425-224-8200
  • Fax: 425-385-8476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberASF.FS.60099789
License Number StateWA

VIII. Authorized Official

Name: DR. DEVORAH ALANA CHOCK
Title or Position: OWNER
Credential: M.D.
Phone: 425-224-8200