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NPI Code Detail

MEDICARE: MRS. DOROTHY DARLENE POPPE CPSS, NCPRSS

MEDICARE: MRS. DOROTHY DARLENE POPPE CPSS, NCPRSS
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 SpecialistPR70069458WA
2101YA0400XAddiction (Substance Use Disorder) CounselorCO60560362WA
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterCPSS.PR.70069458WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CO60560362OTHERWACHEMICAL DEPENDENCY PROFESSIONAL TRAINEE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467944025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DOROTHY DARLENE POPPE CPSS, NCPRSS
Provider Business Mailing Address
First Line : 9227 N LEHMAN RD
Second Line :
City : SPOKANE
State : WA
Zip : 99217-9594
Country : US
Telephone Number : 509-953-0959
Fax Number :
Provider Business Practice Location Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-503-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2018
Last Update Date : 03/28/2026

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