Healthcare Provider Details

I. General information

NPI: 1366366502
Provider Name (Legal Business Name): VICTORIA ELIZABETH NEUMILLER CPST.PE.70103496
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 W GARDNER AVE
SPOKANE WA
99201-2059
US

IV. Provider business mailing address

24 E GLASS AVE
SPOKANE WA
99207-1810
US

V. Phone/Fax

Practice location:
  • Phone: 509-503-6010
  • Fax:
Mailing address:
  • Phone: 509-598-0389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number70103496
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: