Healthcare Provider Details

I. General information

NPI: 1063941672
Provider Name (Legal Business Name): ELIEL N ARREY MD, PHD., MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 HIGHLAND AVE STE 4
CLARKSTON WA
99403-2836
US

IV. Provider business mailing address

1119 HIGHLAND AVE STE 4
CLARKSTON WA
99403-2836
US

V. Phone/Fax

Practice location:
  • Phone: 509-254-2722
  • Fax:
Mailing address:
  • Phone: 509-254-2722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberBP10060509
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD.MD.70087455
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: