Healthcare Provider Details

I. General information

NPI: 1003990516
Provider Name (Legal Business Name): LAURA J. BAEHNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 N LIDGERWOOD ST STE 223
SPOKANE WA
99208-1122
US

IV. Provider business mailing address

P.O. BOX 800
MEDICAL LAKE WA
99022-0800
US

V. Phone/Fax

Practice location:
  • Phone: 509-444-8200
  • Fax: 509-434-0392
Mailing address:
  • Phone: 509-565-4000
  • Fax: 509-565-4705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD60106656
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: