Healthcare Provider Details

I. General information

NPI: 1407799380
Provider Name (Legal Business Name): ANEW MED, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST STE R SUITE 7785
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

100 N HOWARD ST STE R
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 503-210-8898
  • Fax:
Mailing address:
  • Phone: 503-210-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN HODOR
Title or Position: MEMBER
Credential: DO, MS, ACOOG
Phone: 503-210-8898