Provider Demographics
NPI:1689229577
Name:PEER SPOKANE
Entity Type:Organization
Organization Name:PEER SPOKANE
Other - Org Name:PEER SPOKANE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-902-8137
Mailing Address - Street 1:425 W 1ST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-3706
Mailing Address - Country:US
Mailing Address - Phone:206-322-2437
Mailing Address - Fax:
Practice Address - Street 1:425 W 1ST AVE STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-3706
Practice Address - Country:US
Practice Address - Phone:206-322-2437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEER WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-07
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2137036Medicaid