Provider Demographics
NPI:1497089056
Name:RASCHKO, DALE (PA)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:
Last Name:RASCHKO
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Gender:M
Credentials:PA
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Mailing Address - Street 1:105 W 8TH AVE
Mailing Address - Street 2:SUITE 6080
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2313
Mailing Address - Country:US
Mailing Address - Phone:509-838-6500
Mailing Address - Fax:509-838-6561
Practice Address - Street 1:105 W 8TH AVE
Practice Address - Street 2:SUITE 6080
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2313
Practice Address - Country:US
Practice Address - Phone:509-838-6500
Practice Address - Fax:509-838-6561
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant