Healthcare Provider Details

I. General information

NPI: 1417240961
Provider Name (Legal Business Name): SCOTT P. SPENDLOVE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 N VERCLER RD STE 5
SPOKANE VALLEY WA
99216-1092
US

IV. Provider business mailing address

8524 W GAGE BLVD STE A1
KENNEWICK WA
99336-8241
US

V. Phone/Fax

Practice location:
  • Phone: 206-538-6300
  • Fax: 206-538-6301
Mailing address:
  • Phone: 509-591-0070
  • Fax: 509-396-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number103131-875
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberP9464
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOP60640664
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOP60640664
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOP60640664
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberO-1293
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: