Provider Demographics
NPI:1164799896
Name:MEDICINE NATURALLY PLLC
Entity Type:Organization
Organization Name:MEDICINE NATURALLY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-230-5043
Mailing Address - Street 1:6931 N DOUGLASS ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-3766
Mailing Address - Country:US
Mailing Address - Phone:509-230-5043
Mailing Address - Fax:
Practice Address - Street 1:2607 S SOUTHEAST BLVD
Practice Address - Street 2:B214
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4942
Practice Address - Country:US
Practice Address - Phone:509-230-5043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00041932208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty