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Organization

4GE

Active
Other names
Forge
Organization subpart
No

Provider details

NPI number
Authorized official
QUINTON BAKER (EXECUTIVE DIRECTOR)
(509) 818-0104
Entity
Organization

Contact information

Practice address
25 W MAIN AVE STE 310, SPOKANE, WA 99201-5090
(509) 818-0104
Mailing address
25 W MAIN AVE STE 310, SPOKANE, WA 99201-5090
(509) 818-0104

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/07/2025
Last updated
02/08/2025
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