Healthcare Provider Details

I. General information

NPI: 1457417263
Provider Name (Legal Business Name): EHS WOMENS AND CHILDRENS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

IV. Provider business mailing address

PO BOX 2255
SPOKANE WA
99210-2255
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-7932
  • Fax: 509-473-3057
Mailing address:
  • Phone: 509-473-7932
  • Fax: 509-473-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30006356
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP30006949
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP30004127
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP30003483
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD00046878
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberMD00019575
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberMD00019575
License Number StateWA

VIII. Authorized Official

Name: MR. PETER D BERGER
Title or Position: DIRECTOR-EHS PRACTICE ADMIN.
Credential:
Phone: 509-473-3643