Provider Demographics
NPI:1104242882
Name:AIKEN, SALLY (MD)
Entity type:Individual
Prefix:DR
First Name:SALLY
Middle Name:
Last Name:AIKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5901 N LIDGERWOOD ST
Mailing Address - Street 2:SUITE 24B
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5095
Mailing Address - Country:US
Mailing Address - Phone:509-477-2296
Mailing Address - Fax:509-477-4362
Practice Address - Street 1:5901 N LIDGERWOOD ST
Practice Address - Street 2:SUITE 24B
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5095
Practice Address - Country:US
Practice Address - Phone:509-477-2296
Practice Address - Fax:509-477-4362
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD 00021142207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology