Provider Demographics
NPI:1104260496
Name:ARMERDING, NATHAN CHRISTIAN (DO)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:CHRISTIAN
Last Name:ARMERDING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W 5TH AVE STE 200W
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4803
Mailing Address - Country:US
Mailing Address - Phone:509-624-2313
Mailing Address - Fax:509-459-0686
Practice Address - Street 1:317 SANDERS WAY
Practice Address - Street 2:
Practice Address - City:GOLDENDALE
Practice Address - State:WA
Practice Address - Zip Code:98620-9059
Practice Address - Country:US
Practice Address - Phone:509-773-4017
Practice Address - Fax:509-773-1941
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAOP60502875207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program