Healthcare Provider Details

I. General information

NPI: 1962315713
Provider Name (Legal Business Name): MASON INTEGRATIVE PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 S GRAND BLVD STE 101S
SPOKANE WA
99203-2272
US

IV. Provider business mailing address

PO BOX 8569
SPOKANE WA
99203-0569
US

V. Phone/Fax

Practice location:
  • Phone: 509-253-3577
  • Fax: 509-253-3578
Mailing address:
  • Phone: 509-253-3577
  • Fax: 509-253-3578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAWN MASON
Title or Position: OWNER
Credential: PMHNP
Phone: 509-253-3577