Individual
MS. LUANNE A OSTLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
911 W. 5TH AVE., SPOKANE, WA 99204
(509) 455-7844
(509) 623-0415
Mailing address
PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 261-8656
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201472
—
WA
05
—
8384042
—
WA
Enumeration date
03/30/2007
Last updated
10/10/2017
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