ROYAL WA SPOKANE LLC NPI 1013668078

NPI Information

  • NPI: 1013668078
  • Provider Name: ROYAL WA SPOKANE LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • Address: 14525 N NEWPORT HWY
    MEAD, WA
    ZIP 99021
  • Phone: (855) 468-3369

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NPI Details

ROYAL WA SPOKANE LLC is a rehabilitation and substance use disorder clinic center in Mead, WA. ROYAL WA SPOKANE LLC NPI is 1013668078. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

14525 N NEWPORT HWY
MEAD, WA
ZIP 99021-636
Phone: (855) 468-3369

The provider's authorized official is Janice Vaysberg .
The authorized official title is Cfo and has the following contact phone number (847) 345-5541.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 5/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 11/21/2025

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