Healthcare Provider Details

I. General information

NPI: 1770195992
Provider Name (Legal Business Name): ANTHONY RAMOS THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 S GRAND BLVD STE 204N
SPOKANE WA
99203-2200
US

IV. Provider business mailing address

1403 S GRAND BLVD STE 204N
SPOKANE WA
99203-2200
US

V. Phone/Fax

Practice location:
  • Phone: 509-316-2344
  • Fax: 833-243-7203
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY RAMOS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 509-316-2344