Healthcare Provider Details

I. General information

NPI: 1427188465
Provider Name (Legal Business Name): NORTHWEST NEUROLOGICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W 3RD AVE STE 101
SPOKANE WA
99201-7040
US

IV. Provider business mailing address

1520 W 3RD AVE STE 101
SPOKANE WA
99201-7040
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-5165
  • Fax: 509-747-5133
Mailing address:
  • Phone: 509-747-5165
  • Fax: 509-747-5133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID R GREELEY
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 509-747-5615