Healthcare Provider Details

I. General information

NPI: 1881418028
Provider Name (Legal Business Name): DAVID DOANE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 COTTAGE AVE
CASHMERE WA
98815-1001
US

IV. Provider business mailing address

119 COTTAGE AVE
CASHMERE WA
98815-1001
US

V. Phone/Fax

Practice location:
  • Phone: 509-782-2717
  • Fax: 509-782-3262
Mailing address:
  • Phone: 509-782-2717
  • Fax: 509-782-3262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00014934
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00014934
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: