Healthcare Provider Details

I. General information

NPI: 1124934674
Provider Name (Legal Business Name): BARB WEBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W GARLAND AVE
SPOKANE WA
99205-2119
US

IV. Provider business mailing address

3400 W GARLAND AVE
SPOKANE WA
99205-2119
US

V. Phone/Fax

Practice location:
  • Phone: 509-325-2355
  • Fax:
Mailing address:
  • Phone: 509-325-2355
  • Fax: 509-326-3370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPE.70174790
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: