Healthcare Provider Details

I. General information

NPI: 1780548172
Provider Name (Legal Business Name): EVELYN MARCHAN KATZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 S SUNNYBROOK LN
SPOKANE VALLEY WA
99037-9488
US

IV. Provider business mailing address

2706 S SUNNYBROOK LN
SPOKANE VALLEY WA
99037-9488
US

V. Phone/Fax

Practice location:
  • Phone: 805-758-3300
  • Fax:
Mailing address:
  • Phone: 805-758-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHMCC.HM.61231714
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: