Provider Demographics
NPI:1144220609
Name:SOHN, ERIC A (MD)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:A
Last Name:SOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 W FRANCIS AVE # 385
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6834
Mailing Address - Country:US
Mailing Address - Phone:509-464-1600
Mailing Address - Fax:509-467-4590
Practice Address - Street 1:6420 W KITSAP DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-9059
Practice Address - Country:US
Practice Address - Phone:509-464-1600
Practice Address - Fax:509-467-4590
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00037099207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8249740Medicaid
WAAB33759Medicare ID - Type Unspecified
WA8249740Medicaid