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OPPORTUNITY MEDICAL NPI 1083949374


NPI Information

NPI: 1083949374
Provider Name: OPPORTUNITY MEDICAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2005946

Address:
16201 E. INDIANA AVE
STE 2300
SPOKANE, WA
ZIP 99216
Phone: (509) 924-8721
Get Directions

OPPORTUNITY MEDICAL is a family medicine in Spokane, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OPPORTUNITY MEDICAL NPI is 1083949374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16201 E. INDIANA AVE
STE 2300
SPOKANE, WA
ZIP 99216-839
Phone: (509) 924-8721
Fax: (509) 927-9593

The provider's authorized official is Ann L Gott .
The authorized official title is Account Manager and has the following contact phone number (509) 926-1770.

The CLIA number assigned to this NPI record is 50D2005946 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2009 and was last updated on 12/4/2014.


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
1207Q00000XFamily Medicine602935992WASHINGTONNo
2207Q00000XFamily MedicineOP00001703WASHINGTONNo
3207Q00000XFamily MedicineMD00029097WASHINGTONYes

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
17119845MEDICAIDWASHINGTON
2G8885688MEDICARE 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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