Individual
DR. EVANGELINE V DACANAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 299-3121
(509) 299-7015
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00028755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020843
—
WA
05
—
8131823
—
WA
Enumeration date
11/14/2005
Last updated
12/21/2012
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