MEDICARE: ERIKA HAHN

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
1	207Q00000X	Family Medicine Physician	AP61643414	WA

General Provider Information

NPI Number	:	1790593622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA HAHN

Provider Business Mailing Address
First Line	:	16820 N SUNCREST DR
Second Line	:
City	:	NINE MILE FALLS
State	:	WA
Zip	:	99026-9440
Country	:	US
Telephone Number	:	509-671-0440
Fax Number	:

Provider Business Practice Location Address
First Line	:	9420 N NEWPORT HWY
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1391
Country	:	US
Telephone Number	:	509-598-7744
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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Directions to “ ERIKA HAHN ” Practice Location

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