MEDICARE: NORTHWEST DIRECT PRIMARY CARE

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1669350195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST DIRECT PRIMARY CARE

Provider Business Mailing Address
First Line	:	1403 S GRAND BLVD STE 201S
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2278
Country	:	US
Telephone Number	:	307-349-6005
Fax Number	:	800-283-1969

Provider Business Practice Location Address
First Line	:	1403 S GRAND BLVD STE 201S
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-2278
Country	:	US
Telephone Number	:	509-903-5061
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL STEWART
Credential	:	DO
Telephone Number	:	307-349-6005

Provider Enumeration Date	:	08/22/2025
Last Update Date	:	01/12/2026

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Directions to “NORTHWEST DIRECT PRIMARY CARE ” Practice Location

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