Individual
DONNA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
414 S UNIVERSITY, SPOKANE, WA 99206
(208) 371-0780
Mailing address
5904 N VISTA GRANDE DR, OTIS ORCHARDS, WA 99027-9119
(208) 371-0780
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OC00001118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC 00001118
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/15/2013
Last updated
11/15/2013
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