MEDICARE: DOUGLAS G NORQUIST M.D.

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	207X00000X	Orthopaedic Surgery Physician	MD00016038	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	482	OTHER	WA	GROUP HEALTH NW
3	K0214	OTHER	ID	BLUE CROSS OF IDAHO
4	55715	OTHER	WA	DEPT OF LABOR & INDUSTRIE
5	000010002341	OTHER	ID	REGENCE BLUE SHIELD OF ID
6	8903162	OTHER	WA	CRIME VICTIMS
7	NO4568	OTHER	WA	ASURIS NW HEALTH

General Provider Information

NPI Number	:	1780651083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS G NORQUIST M.D.

Provider Business Mailing Address
First Line	:	601 W 5TH AVE
Second Line	:	SUITE 400
City	:	SPOKANE
State	:	WA
Zip	:	99204-2715
Country	:	US
Telephone Number	:	509-344-2663
Fax Number	:	509-624-9179

Provider Business Practice Location Address
First Line	:	12410 E SINTO
Second Line	:	SUITE 201
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-2280
Country	:	US
Telephone Number	:	509-928-4334
Fax Number	:	509-928-7893

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	03/11/2008

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