Healthcare Provider Details

I. General information

NPI: 1588588164
Provider Name (Legal Business Name): SERGEY TOPIK CPSS PENDING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
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: 509-326-3370
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 NumberCPST.PE.70135892
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: