# PHYSICAL MEDICINE AND REHABILITATION NORTHWEST, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245392000
- **Authorized official:** LISA S BLISS M.D. (MANAGING PARTNER)
- **Authorized official phone:** (509) 624-9112

## Contact information

- **Practice address:** 105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
- **Practice address phone:** (509) 624-9112
- **Practice address fax:** (509) 624-1087
- **Mailing address:** 105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
- **Mailing address phone:** (509) 624-9112
- **Mailing address fax:** (509) 624-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 10/24/2007