Provider Demographics
NPI:1578995288
Name:BAYER, IRENE GERDA (PA)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:GERDA
Last Name:BAYER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:GERDA
Other - Last Name:KLARMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:309 E FARWELL RD STE 206
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-8208
Mailing Address - Country:US
Mailing Address - Phone:509-484-4591
Mailing Address - Fax:509-484-7882
Practice Address - Street 1:309 E FARWELL RD STE 206
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-8208
Practice Address - Country:US
Practice Address - Phone:509-484-4591
Practice Address - Fax:509-484-7882
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10004453363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant