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SPOKANE OBSTETRICS & GYNECOLOGY PS NPI 1184756793


NPI Information

NPI: 1184756793
Provider Name: SPOKANE OBSTETRICS & GYNECOLOGY, PS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 50D0977044

Address:
105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204
Phone: (509) 838-4211
Get Directions

SPOKANE OBSTETRICS & GYNECOLOGY, PS is an obstetrics gynecology in Spokane, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPOKANE OBSTETRICS & GYNECOLOGY, PS NPI is 1184756793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 W 8TH AVE
SUITE 6060
SPOKANE, WA
ZIP 99204-302
Phone: (509) 838-4211
Fax: (509) 838-6432

The provider's authorized official is Melodie L Olsen .
The authorized official title is Practice Administrator and has the following contact phone number (509) 838-4211.

The CLIA number assigned to this NPI record is 50D0977044 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2007 and was last updated on 2/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000358300MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONCLINIC NUMBER
27764608MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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