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NPI Code Detail

MEDICARE: NORTHPOINTE FAMILY MEDICINE PLLC

MEDICARE: NORTHPOINTE FAMILY MEDICINE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10200956OTHERWALABOR & INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275716748
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHPOINTE FAMILY MEDICINE PLLC
Provider Business Mailing Address
First Line : 9631 N NEVADA ST
Second Line : SUITE 304
City : SPOKANE
State : WA
Zip : 99218-1133
Country : US
Telephone Number : 509-466-1271
Fax Number :
Provider Business Practice Location Address
First Line : 9631 N NEVADA ST
Second Line : SUITE 304
City : SPOKANE
State : WA
Zip : 99218-1133
Country : US
Telephone Number : 509-466-1271
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MS. COLLETTE ANTOINETTE BLAIR
Credential :
Telephone Number : 509-466-1271
Provider Enumeration Date : 12/07/2007
Last Update Date : 12/07/2007

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Directions to “NORTHPOINTE FAMILY MEDICINE PLLC ” Practice Location

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