| Providence Family Medicine North Pines Valley | |
|
12704 E Nora Ave Ste B Spokane Valley WA 99216-1140 | |
| (509) 926-1531 | |
| Not Available |
| Full Name | Providence Family Medicine North Pines Valley |
|---|---|
| Speciality | Family Medicine |
| Location | 12704 E Nora Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Anselmo Nunez (CHIEF EXECUTIVE) |
| Authorized Official Contact | 5094746616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Medicine North Pines Valley 12704 E Nora Ave Ste B Spokane Valley WA 99216-1140 Ph: (509) 926-1531 | Providence Family Medicine North Pines Valley 12704 E Nora Ave Ste B Spokane Valley WA 99216-1140 Ph: (509) 926-1531 |
| NPI Number | 1578869913 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578869913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 600503827 (Washington) | Primary |
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