Healthcare Provider Details

I. General information

NPI: 1043429616
Provider Name (Legal Business Name): JASON MICHAEL EPENETER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12519 N DIVISION ST STE 6
SPOKANE WA
99218-1936
US

IV. Provider business mailing address

12519 N DIVISION ST STE 6
SPOKANE WA
99218-1936
US

V. Phone/Fax

Practice location:
  • Phone: 509-381-1035
  • Fax:
Mailing address:
  • Phone: 509-381-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number28066
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34081
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: