Provider Demographics
NPI:1558408104
Name:ARTHRITIS NORTHWEST PLLC
Entity Type:Organization
Organization Name:ARTHRITIS NORTHWEST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY JANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:OXANDABOURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-462-2827
Mailing Address - Street 1:105 W 8TH AVE
Mailing Address - Street 2:STE 6080
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2302
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:STE 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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAL0636336174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB25707Medicare PIN