Healthcare Provider Details

I. General information

NPI: 1821255399
Provider Name (Legal Business Name): TIMBERVIEW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 N LIDGERWOOD ST SUITE 219
SPOKANE WA
99208-5095
US

IV. Provider business mailing address

PO BOX 28840
SPOKANE WA
99228-8840
US

V. Phone/Fax

Practice location:
  • Phone: 509-456-5733
  • Fax: 509-327-5191
Mailing address:
  • Phone: 509-456-5733
  • Fax: 509-327-5191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TERI A TUPPER
Title or Position: OWNER
Credential: ARNP
Phone: 509-456-5733