Provider First Line Business Practice Location Address:
100 N. HOWARD STREET
Provider Second Line Business Practice Location Address:
SUITE W
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-688-7523
Provider Business Practice Location Address Fax Number:
509-255-7771
Provider Enumeration Date:
02/18/2026