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NPI Code Detail

MEDICARE: BEAR CREEK PEDIATRICS

MEDICARE: BEAR CREEK PEDIATRICS
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
1363LP0200XPediatric Nurse PractitionerAP30007917WA

Other Identifiers

General Provider Information

NPI Number : 1518470137
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAR CREEK PEDIATRICS
Provider Business Mailing Address
First Line : 105 W 8TH AVE STE 7035
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2313
Country : US
Telephone Number : 509-838-1188
Fax Number :
Provider Business Practice Location Address
First Line : 105 W 8TH AVE STE 7035
Second Line :
City : SPOKANE
State : WA
Zip : 99204-2313
Country : US
Telephone Number : 509-838-1188
Fax Number :
Authorized Official
Title or Position : OFFICE MGR
Name : KAREN MCMAHAN
Credential :
Telephone Number : 509-838-1188
Provider Enumeration Date : 11/06/2017
Last Update Date : 11/06/2017

Similar Medicare Providers

1780754671 — DR. HOWARD M KENNEY M.D.
Practice Location Address:
105 W 8TH AVE , STE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561
1700956620 — DR. JEFFREY B BUTLER M.D.
Practice Location Address:
105 W 8TH AVE , STE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561
1508936436 — DR. GARY L CRAIG M.D.
Practice Location Address:
105 W 8TH AVE , STE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561
1558408104 — ARTHRITIS NORTHWEST PLLC
Practice Location Address:
105 W 8TH AVE , STE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561
1497089056 — MR. DALE RASCHKO PA
Practice Location Address:
105 W 8TH AVE , SUITE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561
1386955904 — DR. MICHAEL C COAN D.O.
Practice Location Address:
105 W 8TH AVE STE 6080
SPOKANE, WA
99204-2313
Practice Phone: 509-838-6500
Practice Fax: 509-838-6561

Directions to “BEAR CREEK PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.