Provider Demographics
NPI:1902597818
Name:SMOAK OSTEOPATHIC MEDICINE, PLLC
Entity type:Organization
Organization Name:SMOAK OSTEOPATHIC MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-960-0534
Mailing Address - Street 1:4801 S COLEMAN LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-1425
Mailing Address - Country:US
Mailing Address - Phone:319-270-5378
Mailing Address - Fax:
Practice Address - Street 1:2527 E 27TH AVE
Practice Address - Street 2:STE 205
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-960-0534
Practice Address - Fax:888-571-6389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care