Healthcare Provider Details

I. General information

NPI: 1891490850
Provider Name (Legal Business Name): YEWUBNESH HAILU SOMEGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

IV. Provider business mailing address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

V. Phone/Fax

Practice location:
  • Phone: 509-603-5800
  • Fax:
Mailing address:
  • Phone: 206-637-5282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.MD.70065294
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: