Healthcare Provider Details

I. General information

NPI: 1053429068
Provider Name (Legal Business Name): PULMONARY AND RESEARCH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W 5TH AVE # 400
SPOKANE WA
99204-4880
US

IV. Provider business mailing address

104 W 5TH AVE # 400
SPOKANE WA
99204-4880
US

V. Phone/Fax

Practice location:
  • Phone: 509-353-3960
  • Fax: 509-343-0134
Mailing address:
  • Phone: 509-353-3960
  • Fax: 509-343-0134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number StateWA

VIII. Authorized Official

Name: SUSAN AUTON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 509-353-3960