Healthcare Provider Details

I. General information

NPI: 1538204649
Provider Name (Legal Business Name): RICHARD PAUL SKREI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/28/2022
Certification Date: 09/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4911 S REGAL ST STE A
SPOKANE WA
99223-7793
US

IV. Provider business mailing address

PO BOX 5299 MS: 1313-5-PCO
TACOMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 509-598-7810
  • Fax: 509-448-0565
Mailing address:
  • Phone: 253-459-8009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberE-9021
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberMD00031618
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: