Healthcare Provider Details
I. General information
NPI: 1396839585
Provider Name (Legal Business Name): EHS MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 W 5TH AVE SUITE 422
SPOKANE WA
99204-2823
US
IV. Provider business mailing address
PO BOX 2255
SPOKANE WA
99210-2255
US
V. Phone/Fax
- Phone: 509-473-3077
- Fax: 509-473-3033
- Phone: 509-473-7932
- Fax: 509-473-3057
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | MD00016040 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | MD00032615 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | MD00020071 |
| License Number State | WA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | MD00043954 |
| License Number State | WA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | PA10003902 |
| License Number State | WA |
VIII. Authorized Official
Name: MR.
LAURANCE
J.
LAUX
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 509-473-7731