Healthcare Provider Details

I. General information

NPI: 1972522019
Provider Name (Legal Business Name): KRISTEN ELIZABETH FLEMMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E HOLLAND AVE
SPOKANE WA
99218-2225
US

IV. Provider business mailing address

605 E HOLLAND AVE
SPOKANE WA
99218-2225
US

V. Phone/Fax

Practice location:
  • Phone: 503-701-0767
  • Fax: 503-816-1619
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD18550
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD18550
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: