Healthcare Provider Details

I. General information

NPI: 1144220609
Provider Name (Legal Business Name): ERIC A SOHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 W KITSAP DR
SPOKANE WA
99208-9059
US

IV. Provider business mailing address

1818 W FRANCIS AVE # 385
SPOKANE WA
99205-6834
US

V. Phone/Fax

Practice location:
  • Phone: 509-464-1600
  • Fax: 509-467-4590
Mailing address:
  • Phone: 509-464-1600
  • Fax: 509-467-4590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00037099
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD00037099
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: