MEDICARE: NW WOUND CARE SPECIALISTS PLLC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1619762572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NW WOUND CARE SPECIALISTS PLLC

Provider Business Mailing Address
First Line	:	18316 E HATTAMER LN
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99027-9586
Country	:	US
Telephone Number	:	310-507-5760
Fax Number	:

Provider Business Practice Location Address
First Line	:	18316 E HATTAMER LN
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99027-9586
Country	:	US
Telephone Number	:	310-507-5760
Fax Number	:

Authorized Official
Title or Position	:	OWNER AND PHYSICIAN
Name	:	DR. CHRISTOPHER MEADOWS
Credential	:	MD
Telephone Number	:	310-507-5760

Provider Enumeration Date	:	04/11/2025
Last Update Date	:	04/11/2025

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