Healthcare Provider Details

I. General information

NPI: 1225467269
Provider Name (Legal Business Name): NORMA RAE BROWER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 11/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6021 N LIDGERWOOD ST
SPOKANE WA
99208-1125
US

IV. Provider business mailing address

6021 N LIDGERWOOD ST
SPOKANE WA
99208-1125
US

V. Phone/Fax

Practice location:
  • Phone: 509-489-3323
  • Fax: 509-483-7169
Mailing address:
  • Phone: 509-489-3323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: