Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Puget Sound Specialty Physicians PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1144401704

Puget Sound Specialty Physicians PLLC is a Foot & Ankle Surgery Podiatrist in Bonney Lake, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19820 Hwy 410 E
Bonney Lake, WA 98391
Phone: (253) 848-6656
Fax: (253) 840-6691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X (WA)

Record details

NPI number1144401704
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPuget Sound Specialty Physicians PLLC
Authorized official Tina Quevedo — Billing Office Supervisor · (253) 841-2006
Other names Ankle & Foot Specialist Of Bonney Lake
NPI enumeratedNovember 23, 2007
Last updated in NPPESJune 5, 2008
Mailing address2728 E Main Ave, Suite A, Puyallup, WA 98372-3198

Other providers in Bonney Lake