Healthcare Provider Details
I. General information
NPI: 1114645546
Provider Name (Legal Business Name): SPOKANE OUTPATIENT ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2022
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1515 E BLACKWOOD LN
SPOKANE WA
99223-6324
US
IV. Provider business mailing address
PO BOX 821350
VANCOUVER WA
98682-0030
US
V. Phone/Fax
- Phone: 360-667-3050
- Fax:
- Phone: 360-667-3050
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
A
SATTERFIELD
Title or Position: PHYSICIAN
Credential: MD
Phone: 509-570-3747