Healthcare Provider Details

I. General information

NPI: 1831009323
Provider Name (Legal Business Name): LILIYA A VOLOSHENYUK PA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5633 N LIDGERWOOD ST
SPOKANE WA
99208-1224
US

IV. Provider business mailing address

10606 N OVERVIEW DR
SPOKANE WA
99217-9731
US

V. Phone/Fax

Practice location:
  • Phone: 509-482-0111
  • Fax:
Mailing address:
  • Phone: 509-934-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: