Providence Medical Group Hawthorne | |
551 E Hawthorne Rd Spokane WA 99218-1417 | |
(509) 252-1900 | |
(509) 465-4105 |
Full Name | Providence Medical Group Hawthorne |
---|---|
Speciality | Family Medicine |
Location | 551 E Hawthorne Rd, Spokane, Washington |
Authorized Official Name and Position | Katlyn Lee (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5094747159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Medical Group Hawthorne Po Box 34439 Seattle WA 98124-1439 Ph: (509) 474-2072 | Providence Medical Group Hawthorne 551 E Hawthorne Rd Spokane WA 99218-1417 Ph: (509) 252-1900 |
NPI Number | 1023394210 |
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Provider Enumeration Date | 11/01/2011 |
Last Update Date | 11/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023394210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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