Healthcare Provider Details

I. General information

NPI: 1891868097
Provider Name (Legal Business Name): PAULA M STRAIT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2426 N MERRITT CREEK LOOP STE A
COEUR D ALENE ID
83814-4961
US

IV. Provider business mailing address

13525 E CARLISLE AVE
SPOKANE VALLEY WA
99216-2441
US

V. Phone/Fax

Practice location:
  • Phone: 208-819-2183
  • Fax:
Mailing address:
  • Phone: 509-629-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9871166
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3014
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP60159652
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: