# AVIVA NORTHWEST, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aviva Northwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225847643
- **Authorized official:** DR. JENNIFER TAYLOR DPH (OWNER)
- **Authorized official phone:** (509) 385-1290

## Contact information

- **Practice address:** 301 N 1ST ST APT 416, COEUR D ALENE, ID 83814-2845
- **Practice address phone:** (509) 688-6023
- **Practice address fax:** (509) 231-7045
- **Mailing address:** 301 N 1ST ST APT 416, COEUR D ALENE, ID 83814-2845
- **Mailing address phone:** (509) 868-6023
- **Mailing address fax:** (509) 231-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |

## Other

- **Enumeration date:** 12/31/2024
- **Last updated:** 04/19/2025