Healthcare Provider Details

I. General information

NPI: 1700710118
Provider Name (Legal Business Name): RIDGEPOINT PERFORMANCE MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 E SPOKANE FALLS BLVD STE 201
SPOKANE WA
99202-1615
US

IV. Provider business mailing address

534 E SPOKANE FALLS BLVD STE 201
SPOKANE WA
99202-1615
US

V. Phone/Fax

Practice location:
  • Phone: 509-954-4079
  • Fax: 509-472-0490
Mailing address:
  • Phone: 509-954-4079
  • Fax: 509-472-0490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC ROBERT ANDERSON
Title or Position: GOVERNOR
Credential: MD
Phone: 509-868-3656