Provider Demographics
NPI:1992962237
Name:SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Entity type:Organization
Organization Name:SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-838-5950
Mailing Address - Street 1:105 W 8TH AVE
Mailing Address - Street 2:SUITE 6010
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2302
Mailing Address - Country:US
Mailing Address - Phone:509-838-5950
Mailing Address - Fax:509-838-5961
Practice Address - Street 1:6825 216TH ST SW
Practice Address - Street 2:SUITE G
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7379
Practice Address - Country:US
Practice Address - Phone:509-838-5950
Practice Address - Fax:509-838-5961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA011828246QH0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246QH0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyHistologyGroup - Single Specialty