| Selkirk Neurology Pllc | |
|
610 S Sherman St Ste 201 Spokane WA 99202-1342 | |
| (509) 473-0885 | |
| (509) 795-0895 |
| Full Name | Selkirk Neurology Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 610 S Sherman St Ste 201, Spokane, Washington |
| Authorized Official Name and Position | Jason Lamar Aldred (OWNER) |
| Authorized Official Contact | 5094730885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selkirk Neurology Pllc 610 S Sherman St Ste 201 Spokane WA 99202-1342 Ph: (509) 458-7720 | Selkirk Neurology Pllc 610 S Sherman St Ste 201 Spokane WA 99202-1342 Ph: (509) 473-0885 |
| NPI Number | 1730683053 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0042574634 |
|---|---|
| Medicare Enrollment ID | O20180508000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730683053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jamelynn B Mark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942314372 PECOS PAC ID: 0345349437 Enrollment ID: I20070702000263 |
| Provider Name | Jason L Aldred |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003969684 PECOS PAC ID: 8527164672 Enrollment ID: I20140409000280 |
| Provider Name | Megan G Wildes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660929 PECOS PAC ID: 3173809670 Enrollment ID: I20170418001735 |
| Provider Name | Megan Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528641016 PECOS PAC ID: 9335544600 Enrollment ID: I20210825000460 |
| Provider Name | Molly Bartleson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720751118 PECOS PAC ID: 8921471749 Enrollment ID: I20230227000692 |
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