Healthcare Provider Details

I. General information

NPI: 1366318065
Provider Name (Legal Business Name): WEECARE PEDIATRICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2025
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W FRANCIS AVE STE 104
SPOKANE WA
99205-6858
US

IV. Provider business mailing address

9705 W NELSON DR
NINE MILE FALLS WA
99026-8651
US

V. Phone/Fax

Practice location:
  • Phone: 509-230-3914
  • Fax: 509-464-6959
Mailing address:
  • Phone: 509-230-3914
  • Fax: 509-464-6959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRENDA M STOUDT
Title or Position: ARNP
Credential: ARNP
Phone: 509-230-3914