Healthcare Provider Details

I. General information

NPI: 1669157095
Provider Name (Legal Business Name): JOAN NJOROGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 W BOONE AVE
SPOKANE WA
99201-2504
US

IV. Provider business mailing address

910 W BOONE AVE
SPOKANE WA
99201-2504
US

V. Phone/Fax

Practice location:
  • Phone: 206-503-0665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCAAR.CG.70107511
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: