Healthcare Provider Details

I. General information

NPI: 1306265483
Provider Name (Legal Business Name): RAYNA TRAEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAYNA DOLL DO

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 N WASHINGTON ST STE 4200
SPOKANE WA
99201-2476
US

IV. Provider business mailing address

1330 N WASHINGTON ST STE 4200
SPOKANE WA
99201-2476
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-1624
  • Fax: 509-747-6774
Mailing address:
  • Phone: 509-747-1624
  • Fax: 509-747-6774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberOP60936445
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: