=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083949374
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OPPORTUNITY MEDICAL, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2009
-----------------------------------------------------
Last Update Date | 09/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16201 E. INDIANA AVE STE 2300
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99216-2839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-924-8721
-----------------------------------------------------
Fax | 509-927-9593
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16201 E INDIANA AVE STE 2300
-----------------------------------------------------
City | SPOKANE VALLEY
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99216-2839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-924-8721
-----------------------------------------------------
Fax | 509-927-9593
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | SUSAN KAYE LEHMAN
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 509-924-8721
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD00029097
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------