Individual
CORALYN JILL ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PA
Contact information
Practice address
235 E ROWAN AVE STE 220, SPOKANE, WA 99207-1240
(509) 474-2223
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M6940
ID
2084P0800X
Psychiatry Physician
Primary
MD00029741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001359
BLUESHIELD
ID
05
—
804004500
—
ID
01
—
DE757
BLUECROSS
ID
Enumeration date
10/11/2005
Last updated
08/29/2023
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