Healthcare Provider Details

I. General information

NPI: 1407698772
Provider Name (Legal Business Name): NATASHA REECE PEER SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2024
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3754 W INDIAN TRAIL RD
SPOKANE WA
99208-4736
US

IV. Provider business mailing address

3754 W INDIAN TRAIL RD
SPOKANE WA
99208-4736
US

V. Phone/Fax

Practice location:
  • Phone: 509-559-3100
  • Fax:
Mailing address:
  • Phone: 509-559-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberCG70141632
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCB61673158
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: