MEDICARE: NORTHEAST WASHINGTON EDUCATIONAL SERVICE DISTRICT 101

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	251300000X	Local Education Agency (LEA)
4	252Y00000X	Early Intervention Provider Agency
5	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1740149996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHEAST WASHINGTON EDUCATIONAL SERVICE DISTRICT 101

Provider Business Mailing Address
First Line	:	4202 S REGAL ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7738
Country	:	US
Telephone Number	:	509-789-3743
Fax Number	:	888-392-2027

Provider Business Practice Location Address
First Line	:	4202 S REGAL ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-7738
Country	:	US
Telephone Number	:	509-789-3743
Fax Number	:	888-392-2027

Authorized Official
Title or Position	:	DIRECTOR, BUSINESS SERVICES
Name	:	MICHELE HOXIE
Credential	:
Telephone Number	:	509-789-3743

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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