Provider Demographics
NPI:1831975325
Name:BURGER-SMITH, CIARRAH K
Entity type:Individual
Prefix:
First Name:CIARRAH
Middle Name:K
Last Name:BURGER-SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2237
Mailing Address - Country:US
Mailing Address - Phone:509-413-1193
Mailing Address - Fax:509-778-4711
Practice Address - Street 1:1008 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2237
Practice Address - Country:US
Practice Address - Phone:509-412-1193
Practice Address - Fax:509-778-4711
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61437474.1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical