Organization
PHYSICAL MEDICINE AND REHABILITATION NORTHWEST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S BLISS M.D. (MANAGING PARTNER)
(509) 624-9112
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
(509) 624-9112
(509) 624-1087
Mailing address
105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
(509) 624-9112
(509) 624-1087
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127376
—
WA
Enumeration date
12/15/2006
Last updated
10/24/2007
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