Healthcare Provider Details

I. General information

NPI: 1689510471
Provider Name (Legal Business Name): THOMAS CRAFTS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 W GORDON AVE
SPOKANE WA
99205-2968
US

IV. Provider business mailing address

506 W GORDON AVE
SPOKANE WA
99205-2968
US

V. Phone/Fax

Practice location:
  • Phone: 509-217-9231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70104776
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: