MEDICARE: ANNA J PAULLIN-FISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SC60618454	WA

General Provider Information

NPI Number	:	1144413717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA J PAULLIN-FISH

Provider Business Mailing Address
First Line	:	100 N HOWARD ST STE W
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	503-850-9607
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N HOWARD ST STE W
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-0508
Country	:	US
Telephone Number	:	503-850-9607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2007
Last Update Date	:	05/06/2026

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Directions to “ ANNA J PAULLIN-FISH ” Practice Location

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