Provider Demographics
NPI:1891761672
Name:HARRISON, LINDA SATOR (MD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SATOR
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12615 E MISSION AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1047
Mailing Address - Country:US
Mailing Address - Phone:509-928-4442
Mailing Address - Fax:509-928-4447
Practice Address - Street 1:12615 E MISSION AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1047
Practice Address - Country:US
Practice Address - Phone:509-928-4442
Practice Address - Fax:509-928-4447
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00029097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1072198Medicaid
WA1072198Medicaid