Organization
MT. SPOKANE PEDIATRICS, PLLC
Active
Other names
Mt. Spokane Pediatrics, Spokane Pediatrics Urgent Care, MT Spokane Pediatrics PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR ROOT (ADMIN)
(509) 270-0065
Entity
Organization
Contact information
Practice address
759 E HOLLAND AVE STE 101, SPOKANE, WA 99218-1257
(509) 270-0065
(509) 319-2520
Mailing address
759 E HOLLAND AVE STE 101, SPOKANE, WA 99218-1257
(509) 270-0065
(509) 319-2520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023617347
NPI
—
01
—
1033980628
NPI
—
01
—
1083329072
NPI
—
01
—
1245962232
NPI
—
01
—
1306689278
NPI
—
01
—
1366298085
NPI
—
01
—
1376830299
NPI
WA
01
—
1447988530
NPI
WA
01
—
1477189785
NPI
—
01
—
1477934578
NPI
WA
01
—
1588902597
NPI
WA
01
—
1609330992
NPI
WA
01
—
1760195382
NPI
—
01
—
1811779002
NPI
—
01
—
1881434975
NPI
—
01
—
AP60228997
ARNP
WA
01
—
AP60327358
ARNP
WA
01
—
AP60864435
ARNP
WA
01
—
AP60919324
ARNP
WA
01
—
AP60929537
ARNP
WA
01
—
AP60942013
ARNP
WA
01
—
AP61091392
ARNP
WA
01
—
AP61109016
ARNP
WA
01
—
AP61224996
ARNP
WA
01
—
AP61315755
ARNP
WA
01
—
AP61335304
ARNP
WA
01
—
AP61338441
ARNP
WA
01
—
AP61351087
ARNP
WA
01
—
OT60064658
OT
WA
01
—
OT60869302
OT
WA
01
—
PT60630044
PT
WA
01
—
SI61064749
SLP
WA
Enumeration date
06/15/2015
Last updated
02/05/2026
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