Healthcare Provider Details

I. General information

NPI: 1992962237
Provider Name (Legal Business Name): SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 216TH ST SW SUITE G
LYNNWOOD WA
98036-7379
US

IV. Provider business mailing address

105 W 8TH AVE SUITE 6010
SPOKANE WA
99204-2302
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-5950
  • Fax: 509-838-5961
Mailing address:
  • Phone: 509-838-5950
  • Fax: 509-838-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246QH0600X
TaxonomyHistology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER SAVILLE
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 509-838-5950