Healthcare Provider Details

I. General information

NPI: 1164799896
Provider Name (Legal Business Name): MEDICINE NATURALLY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 S SOUTHEAST BLVD B214
SPOKANE WA
99223-4942
US

IV. Provider business mailing address

6931 N DOUGLASS ST
SPOKANE WA
99208-3766
US

V. Phone/Fax

Practice location:
  • Phone: 509-230-5043
  • Fax:
Mailing address:
  • Phone: 509-230-5043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00041932
License Number StateWA

VIII. Authorized Official

Name: MONICA GERMANY
Title or Position: OWNER
Credential: MD
Phone: 509-230-5043