Healthcare Provider Details

I. General information

NPI: 1912814468
Provider Name (Legal Business Name): UDOKA ADDY PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 EASTLAKE AVE E
SEATTLE WA
98102-3419
US

IV. Provider business mailing address

100 N HOWARD ST # 6553
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 509-356-2424
  • Fax:
Mailing address:
  • Phone: 509-356-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: UDOKA ADDY
Title or Position: MANAGING MEMBER
Credential: RN, PMHNP-BC
Phone: 509-356-2424