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WA-SPOK MEDICAL CARE LLC NPI 1649420019


NPI Information

NPI: 1649420019
Provider Name: WA-SPOK MEDICAL CARE LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
801 W FIFTH AVE
SUITE 422
SPOKANE, WA
ZIP 99204
Phone: (509) 473-7250
Get Directions

WA-SPOK MEDICAL CARE LLC is a psychiatry psychiatry neurology in Spokane, WA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WA-SPOK MEDICAL CARE LLC NPI is 1649420019. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 W FIFTH AVE
SUITE 422
SPOKANE, WA
ZIP 99204-841
Phone: (509) 473-7250
Fax: (509) 473-3033

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 2/1/2012.


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
1207T00000XNeurological SurgeryNo
2363L00000XNurse PractitionerNo
32086S0129XSurgeryVascular SurgeryNo
42084H0002XPsychiatry & NeurologyHospice and Palliative MedicineNo
5363A00000XPhysician AssistantNo
62084P0800XPsychiatry & NeurologyPsychiatryYes

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
10242178OTHERWASHINGTONDEPT L&I
27144553MEDICAIDWASHINGTON
3G8876487MEDICARE PINWASHINGTON

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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