Healthcare Provider Details

I. General information

NPI: 1144273715
Provider Name (Legal Business Name): ERIK LEE STRANDNESS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 W 8TH AVE
SPOKANE WA
99204-2361
US

IV. Provider business mailing address

3925 S EASTERN RD
SPOKANE WA
99223-1341
US

V. Phone/Fax

Practice location:
  • Phone: 509-456-6556
  • Fax:
Mailing address:
  • Phone: 509-448-0652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number00033628
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: