Healthcare Provider Details

I. General information

NPI: 1295380384
Provider Name (Legal Business Name): SPOKANE WORK INJURY CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N DIVISION ST
SPOKANE WA
99202-1899
US

IV. Provider business mailing address

1315 N DIVISION ST
SPOKANE WA
99202-1899
US

V. Phone/Fax

Practice location:
  • Phone: 509-487-4467
  • Fax: 509-487-4503
Mailing address:
  • Phone: 509-487-4467
  • Fax: 509-487-4503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL SCHMIDT
Title or Position: OWNER
Credential: DO
Phone: 509-487-4467