Healthcare Provider Details

I. General information

NPI: 1386709012
Provider Name (Legal Business Name): SANDRA JANE BREMNER-DEXTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDRA JANE BREMNER MD

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 W 2ND AVE SUITE 600
SPOKANE WA
99201-4538
US

IV. Provider business mailing address

906 W 2ND AVE SUITE 600
SPOKANE WA
99201-4538
US

V. Phone/Fax

Practice location:
  • Phone: 509-458-5889
  • Fax: 509-624-1216
Mailing address:
  • Phone: 509-458-5889
  • Fax: 509-624-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD00033557
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: