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NPI Code Detail

MEDICARE: PATRICK HINCKLEY

MEDICARE:   PATRICK  HINCKLEY
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
1175T00000XPeer Specialist70109163WA

General Provider Information

NPI Number : 1417885484
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK HINCKLEY
Provider Business Mailing Address
First Line : 3400 W GARLAND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-2119
Country : US
Telephone Number : 509-325-2355
Fax Number : 509-326-3370
Provider Business Practice Location Address
First Line : 3400 W GARLAND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99205-2119
Country : US
Telephone Number : 509-325-2355
Fax Number : 509-326-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ PATRICK HINCKLEY ” Practice Location

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