Individual
MADELINE TYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 N LIDGERWOOD ST STE 223, SPOKANE, WA 99208-1122
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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