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

Sand Medical Clinic

Organization Primary Care Clinic/Center · NPI 1407687965

Sand Medical Clinic is a Primary Care Clinic/Center in Bonney Lake, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

7720 190th Ave E
Bonney Lake, WA 98391-7010
Phone: (253) 374-5183
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1407687965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samwel Mbua — Governor · (206) 356-0906
NPI enumeratedAugust 8, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address7720 190th Ave E, Bonney Lake, WA 98391-7010

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