MEDICARE: JOSEPH M MCGAUGHEY

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	390200000X	Student in an Organized Health Care Education/Training Program		WA
2	101Y00000X	Counselor	CG61266637	WA

General Provider Information

NPI Number	:	1538811187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH M MCGAUGHEY

Provider Business Mailing Address
First Line	:	107 S DIVISION ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-1510
Country	:	US
Telephone Number	:	509-838-4651
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 N ARGONNE RD
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99212-2721
Country	:	US
Telephone Number	:	509-838-4651
Fax Number	:

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

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	03/24/2022

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Directions to “ JOSEPH M MCGAUGHEY ” Practice Location

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