Healthcare Provider Details

I. General information

NPI: 1174453039
Provider Name (Legal Business Name): GRIFFIN PATRICK STROYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16212 E INDIANA AVE STE A
SPOKANE VALLEY WA
99216-2455
US

IV. Provider business mailing address

20000 N 57TH AVE RM H109
GLENDALE AZ
85308-6875
US

V. Phone/Fax

Practice location:
  • Phone: 509-922-3333
  • Fax:
Mailing address:
  • Phone: 509-936-2247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: