Healthcare Provider Details

I. General information

NPI: 1871422923
Provider Name (Legal Business Name): TERRI RAY BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 N JEFFERSON LN STE 100
SPOKANE WA
99201-7104
US

IV. Provider business mailing address

546 N JEFFERSON LN STE 100
SPOKANE WA
99201-7104
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-0111
  • Fax: 509-624-0111
Mailing address:
  • Phone: 509-624-0111
  • Fax: 509-624-0111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberRN00123700
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: